俯卧位通气改善重症肺炎患者机械通气功能的研究  

Study on the Improvement of Mechanical Ventilation Function in Severe Pneumonia Patients with Prone Ventilation

作　　者：施丽萍 许震娟 SHI Li-ping;XU Zhen-juan(The Affiliated Taizhou People's Hospital of Nanjing Medical University,Taizhou Jiangsu 225300,China)

机构地区：[1]南京医科大学附属泰州人民医院呼吸危重症医学科,江苏泰州225300

出　　处：《泰州职业技术学院学报》2023年第6期73-75,共3页Journal of Taizhou Polytechnic College

摘　　要：目的分析俯卧位通气改善重症肺炎患者机械通气功能的疗效观察及护理。方法以我院收治的50例重症肺炎机械通气患者为本次研究对象,所有研究对象均给予重症肺炎护理常规,并以随机数字法分为常规组(25例,常规仰卧位机械通气治疗)和观察组(25例,俯卧位机械通气治疗),对比分析两组患者机械通气治疗前后的氧合指数与动脉血气指标。结果两组患者治疗前的氧合指数及动脉血气指标无统计学差异(P>0.05),但治疗后,观察组患者氧合指标FiO_(2)及SaO_(2)、PaO_(2)等动脉血气指标显著高于常规组(P<0.05),而P/F、MAP等氧合指标均显著低于常规组(P<0.05)。结论在重症肺炎患者的机械通气治疗中,选择俯卧位通气治疗,可取得更为理想的治疗效果。Objective To analyze the effect and nursing of prone position ventilation to improve mechanical venti⁃lation function in severe pneumonia patients.Methods 50 patients with severe pneumonia were treated by me⁃chanical ventilation in our hospital.All subjects received routine care for severe pneumonia and were randomly divided into a control group(25 cases,treated with conventional supine mechanical ventilation)and an observa⁃tion group(25 cases,treated with prone mechanical ventilation).The oxygenation index and arterial blood gas in⁃dex of the two groups were compared and analyzed before and after mechanical ventilation.Results There was no significant difference in oxygenation index and arterial blood gas index between the two groups before treat⁃ment(P>0.05),but after treatment,the oxygenation index of the patients in the observation group,such as FiO_(2),SaO_(2),PaO_(2),etc,were significantly higher than that in the routine group(P<0.05).The oxygenation in⁃dexes of P/F and MAP were significantly lower than those of routine group(P<0.05).Conclusion In the treat⁃ment of severe pneumonia,prone position ventilation has better therapeutic effect.

关 键 词：重症肺炎 俯卧位 机械通气 

分 类 号：R473.56[医药卫生—护理学]