ARDS患者俯卧位通气临床实施流程与护理的新进展  

New Development Trend in Clinical Implementation Process and Nursing Care of ARDS Patients with Prone Position Ventilation

作　　者：聂涛[1] 李婷婷[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院重症医学科,湖北 武汉

出　　处：《护理学》2021年第5期433-438,共8页Nursing Science

摘　　要：目的:对ARDS患者实施俯卧通气的流程和护理进行综述,为俯卧位通气的实施和护理提供指导。方法:通过查阅文献,对当前国内外的俯卧位通气临床实施和护理进行综述。结果:俯卧位通气治疗能有效改善ARDS患者的氧合,并且减少患者的病死率,但是在临床实施的过程中存在一定难度。没有相对应的指南规范来对俯卧位通气实施专业的指导。结论:俯卧位通气治疗是改善ARDS患者氧合的有效手段,但是在实施的过程中存在一定难度,并且俯卧位通气会有一些严重的并发症,怎样安全有效的实施和管理俯卧位通气患者,是值得医务人员思考的问题。Objective: To summarize the processand nursing of prone ventilation in patients with ARDS, to provide guidance forthe implementation and nursing of prone ventilation. Methods: By consulting theliterature, the clinical implementation and nursing of prone ventilation athome and abroad were reviewed. Results: Proneventilation can effectively improve the oxygenation of ARDS patients and reducethe mortality of patients, but it is difficult to implement in clinicalpractice. There are no corresponding guidelines to provide professionalguidance on prone ventilation. Conclusion: Prone position ventilation treatmentis an effective means to improve oxygenation in patients with ARDS, but thereare some difficulties in the implementation process, and prone positionventilation will have some serious complications. How to implement and manageprone position ventilation patients safely and effectively is a problem worthyof medical staff’s consideration.

关 键 词：急性呼吸窘迫综合征 俯卧位通气 护理 

分 类 号：R47[医药卫生—护理学]