俯卧位通气改善ARDS患者氧合的护理研究

Nursing research Prone position ventilation improves oxygenation of patients with ARDS

目的探讨俯卧位通气改善ARDS患者氧合状态的影响。方法选择ARDS患者22例随机分为A组和B组,各11例。A组采用俯卧位,B组采用平卧位或床头抬高10～30°。分别在通气后2h、4h两个时间点采血行血气分析。并对两组SPO2、PaO2、PaCO2、PaO2∕FiO2、HR、MAP、CVP的变化进行比较。结果两组HR、MAP、CVP比较无显著性差异(P>0.05),两组SPO2、PaO2、PaCO2、PaO2/FiO2变化比较有显著性差异(P<0.05)。结论俯卧位通气能显著改善ARDS患者的氧合状态,从而实现早日脱机,且实施方便,加强护理和观察可避免严重并发症的发生。

Objective To investigate the effect for the prone position ventilation to improve oxygenation state m patients with ARDS. Methods A total of 22 cases of patients with ARDS were randomly divided into two groups A （ prone position therapy group ） and B （ conventional group）. Two groups of SPO2. PaO2. PaCO2 .PaO2/FiO2. HR . MAP. CVP were compared for 2 hours and 4 hours. Results In 2 groups, there were no significant differences in HR.MAP.CVP, but the difference was distinct with SPO2 ,PaO2 .PaCO2 .PaO2/FiO2. Conclusion The prone position ventilation can significantly improve oxygenation state in patients with ARDS, so that achieving early weaning and easy to implement. The complication can be prevented with Strengthening nursing and close observation.