重症监护室早期应用俯卧位通气治疗急性呼吸窘迫综合征患者的临床护理分析  

Clinical nursing analysis of early application of prone position ventilation on patients with acute respiratory distress syndrome in intensive care unit

作　　者：邓玉香 丘友谊[2] DENG Yuxiang;QIU Youyi(Department of Critical Care Medicine,Fuyong People's Hospital of Baoan District,Shenzhen City,Guangdong Provence,Guangdong,Shenzhen 541800,China;Department of Endocrinology,Shenzhen Longgang Central Hospital,Guangdong,Shenzhen 518100,China)

机构地区：[1]深圳市宝安区福永人民医院重症医学科,广东深圳541800 [2]深圳市龙岗中心医院内分泌科,广东深圳518100

出　　处：《中国医药科学》2020年第22期120-122,共3页China Medicine And Pharmacy

基　　金：广东省深圳市宝安区科技计划基础研究项目(2019JD157)。

摘　　要：目的分析重症监护室早期应用俯卧位通气治疗急性呼吸窘迫综合征患者的临床护理效果。方法选取2018年11月~2019年11月我院收治的急性呼吸窘迫综合征患者70例,随机分为对照组和试验组,每组各35例。两组均行俯卧位通气治疗,对照组给予常规护理干预,试验组在对照组基础上给予优质护理干预。对两组护理满意度及血流动力学指标进行比较,并对两组出现并发症的情况进行记录。结果试验组的护理总满意度显著高于对照组,差异有统计学意义(P<0.05)。护理后,试验组pH值、动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)等血流动力学指标均显著优于对照组,差异有统计学意义(P<0.05)。试验组通气治疗过程中并发症总发生率显著低于对照组,差异有统计学意义(P<0.05)。结论对重症监护室早期应用俯卧位通气治疗急性呼吸窘迫综合征患者行优质护理,效果显著,患者血流动力学指标改善显著,并发症的发生率低,值得推广使用。Objective To analyze the clinical nursing efficacy of early application of prone position ventilation on patients with acute respiratory distress syndrome in intensive care unit(ICU).Methods A total of 70 patients with acute respiratory distress syndrome from November 2018 to November 2019 were selected and randomly divided into the control group(n=35)and the experimental group(n=35).The two groups were all treated with prone position ventilation,and the control group was given conventional nursing intervention,while the experimental group was given high-quality nursing intervention based on the control group.The nursing satisfaction and hemodynamic indexes of the two groups were compared,and the incidences of complications were recorded.Results The total nursing satisfaction of the experimental group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).After nursing,the pH value,PaO2,PaCO2 and other hemodynamic indexes in the experimental group were significantly superior to those in the control group,with statistically significant differences(P<0.05).There was a significant difference in the total incidences of complications between the two groups during ventilation treatment,and the experimental group was lower,with statistically significant difference(P<0.05).Conclusion The high-quality nursing on patients with acute respiratory distress syndrome treated with prone position ventilation in the early stage in ICU has achieved significant efficacies,with significant improvement in patients'hemodynamic indexes and low incidences of complications,which is worthy of promotion and application.

关 键 词：重症监护室 俯卧位通气 急性呼吸窘迫综合征 优质护理 

分 类 号：R473.5[医药卫生—护理学]