俯卧位通气对急性呼吸窘迫综合征患者氧合状态和谵妄发生率的影响  

Effects of prone position ventilation on oxygenation status and the incidence of delirium in acute respiratory distress syndrome patients

作　　者：徐海萍[1] 潘利飞[1] XU Haiping;PAN Lifei(Intensive Care Unit,Jinhua Central Hospital,Zhejiang Province,Jinhua 321000,China)

机构地区：[1]浙江省金华市中心医院急诊重症监护病区,浙江金华321000

出　　处：《中国医药导报》2024年第16期59-61,共3页China Medical Herald

基　　金：浙江省医药卫生科技计划项目(2020KY1008)。

摘　　要：目的探讨俯卧位通气对急性呼吸窘迫综合征(ARDS)患者氧合状态和谵妄发生率的影响。方法选取2022年1月至12月浙江省金华市中心医院就诊的84例ARDS患者为研究对象。按照随机数字表法将其分为对照组和观察组,每组42例。对照组实施仰卧位通气,观察组实施俯卧位通气,持续干预1周。比较两组干预前后脉搏血氧饱和度(SpO_(2))、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、吸入氧浓度(FiO_(2));观察两组谵妄的发生情况。结果干预后,两组SpO_(2)、PaO_(2)、PaO_(2)/FiO_(2)高于干预前,且观察组高于对照组;PaCO_(2)低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组谵妄发生率低于对照组,差异有统计学意义(P<0.05)。结论相对于仰卧位通气,俯卧位通气能够更好地改善ARDS患者的氧合状态,降低谵妄发生率,值得推广。Objective To investigate the effects of prone ventilation on oxygenation status and the incidence of delirium in patients with acute respiratory distress syndrome(ARDS).Methods A total of 84 ARDS patients treated in Jinhua Central Hospital of Zhejiang Province from January to December 2022 were selected as objects,and they were divided into control group and observation group according to the random number table method,with 42 cases in each group.The control group was given supine position ventilation,and observation group was given prone position ventilation,and the intervention lasted for one week.Pulse oximetry saturation(SpO_(2)),arterial partial oxygen pressure of blood oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2)),and fraction of inspired oxygen(FiO_(2))were compared between two groups before and after intervention;and the occurrence of delirium in two groups was observed.Results After intervention,SpO_(2),PaO_(2),and PaO_(2)/FiO_(2) in two groups were higher than before intervention,and those of observation group were higher than those of control group;PaCO_(2) was lower than before intervention,and that of observation group was lower than that of control group,and the differences were statistically significant(P<0.05).The incidence of delirium in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Compared with supine position ventilation,prone position ventilation can better improve the oxygenation status of ARDS patients and reduce the incidence of delirium,which is worth popularizing.

关 键 词：急性呼吸窘迫综合征 俯卧位通气 氧合状态 谵妄发生率 

分 类 号：R563.8[医药卫生—呼吸系统]