探讨俯卧位通气改善ARDS患者氧合状态的影响  

The Effect of Prone Position Ventilation on Improving Oxygenation Status in ARDS Patients

作　　者：傅佳 陈桂兰[1] FU Jia;CHEN Guilan(Department of Critical Care Medicine, Central Hospital of Chongqing Three Gorges, Chongqing 404000, China)

机构地区：[1]重庆三峡中心医院重症医学科,重庆404000

出　　处：《中国继续医学教育》2019年第14期126-128,共3页China Continuing Medical Education

摘　　要：目的分析对ARDS患者采用俯卧位通气对其氧合状态的影响效果。方法纳入我院2017年9月—2018年9月收治的15例ARDS患者,均予以俯卧位通气方式予以护理,对比患者通气前和通气后(通气2小时与4小时)的动脉血气变化情况。结果通气前和通气后2小时、通气前和通气后4小时、通气后2小时和通气后4小时患者的酸碱度、氧饱和度、动脉二氧化碳分压和氧合指数对比,差异具有统计学意义(P <0.05)。结论对ARDS患者采用俯卧位通气对其氧合状态的影响效果较为显著,可以提升患者的治疗和护理效果,安全性较高。Objective To analyze the effect of prone position ventilation on oxygenation status in ARDS patients. Methods 15 patients with ARDS admitted to our hospital from September 2017 to September 2018 were given prone position ventilation nursing, and the changes of arterial blood gas before and after ventilation(ventilation 2 hours and 4 hours) were compared. Results There were significant differences in acidity, alkalinity, oxygen saturation, arterial partial pressure of carbon dioxide and oxygenation index between patients before and 2 hours after ventilation, before and 4 hours after ventilation, 2 hours after ventilation and 4 hours after ventilation(P<0.05). Conclusion Prone position ventilation has a significant effect on the oxygenation status of ARDS patients. It can improve the treatment and nursing effect of ARDS patients.

关 键 词：俯卧位通气 ARDS 氧合状态 呼吸衰竭窘迫综合征 动脉血气分析 体位护理 

分 类 号：R473[医药卫生—护理学]