严重急性呼吸窘迫综合征孕妇俯卧位通气的护理进展  

Prone position ventilation care for pregnant women with severe acute respiratory distress syndrome:a review

作　　者：郭茜 汪小康 陈雪薇 杨影 张瑛[3] Guo Qian;Wang Xiaokang;Chen Xuewei;Yang Ying;Zhang Ying(School of Nursing,Hangzhou Normal University,Hangzhou 311121,China)

机构地区：[1]杭州师范大学护理学院,浙江杭州311121 [2]上海中医药大学研究生院 [3]杭州师范大学附属医院重症医学科

出　　处：《护理学杂志》2023年第21期21-25,共5页Journal of Nursing Science

基　　金：浙江省医药卫生科技项目(2023KY956);杭州市生物医药和健康产业发展扶持科技专项(第六期)项目(2022WJC025)。

摘　　要：俯卧位通气是一种改善严重急性呼吸窘迫综合征患者氧合的体位治疗方式。对于发生严重急性呼吸窘迫综合征的孕妇,俯卧位通气在一定程度上可以缓解肺部区域塌陷,降低妊娠子宫的压力,改善患者氧合。本文对已有的严重急性呼吸窘迫综合征孕妇俯卧位通气成功案例进行综述,以期从临床差异、作用机制、临床应用、病情观察和应用效果对严重急性呼吸窘迫综合征孕妇俯卧位通气的护理进行总结,为临床干预提供参考。Prone position ventilation is a postural therapy to improve oxygenation in patients with severe Acute Respiratory Distress Syndrome(ARDS).In pregnant women with severe ARDS,prone position ventilation can,to a certain extent,alleviate the collapse of the lung region,reduce the pressure of the gestational uterus,and improve patients′oxygenation.This study reviews the existing successful case reports on prone position ventilation in pregnant women with severe ARDS,in order to summarize its care in terms of clinical differences,mechanism of action,clinical application,illness condition observation and application effect,and to provide a reference for clinical intervention.

关 键 词：孕妇 妊娠期 严重急性呼吸窘迫综合征 ARDS 俯卧位通气 临床差异 临床应用 综述文献 

分 类 号：R473.71[医药卫生—护理学]