体位护理对ARDS患者通气效果的影响

Effect of Position Nursing on Ventilation of Patients with ARDS

目的研究不同体位条件下ARDS患者的通气效果,为采取最佳体位通气方法提供参考。方法将120例ARDS患者分为A、B、C三组,分别接受侧卧位、侧俯卧位和完全俯卧位通气。监测三组患者呼吸、心率、血压等参数变化并进行对比分析。结果本研究死亡17例,103例患者经改变体位后氧合情况改善,住ICU病房5~23天后转至普通病房。结论 ARDS患者采取间歇侧俯卧位后能明显改善通气效果,从而尽早脱离呼吸机,减少监护病房住院时间,提高救治成功率。

Objective To explore the effect of different position nursing on the ventilation of the patients with ARDS. 120 cases with ARDS were randomly divided into 3 groups： Group A （lateral position ventilation）, Group B （lateral prone position venti- lation） and Group C （whole prone position ventilation）; their respiration, heart beat and blood pressure were monitored and a contrast analysis was made. Results Out of the 120 cases, 17 cases died and the other 103 cases had improvement in oxygenation after the change of body position, and were sent to general wards after a stay in ICU for 5 to 23 days. Conclusions Taking lateral prone position can obviously improve the ventilation of the patients with ARDS, as a result, the patients can be weaned from ventilator earlier, the time in ICU will be shortened and the successful rate of rescue be raised.