早期俯卧位通气在主动脉夹层术后低氧血症患者中的护理应用

The implications of prone position ventilation in early stage in the hyoxemia patients who have experienced the surgery of aortic dissection

目的：探讨早期俯卧位通气在主动脉夹层术后低氧血症患者中的应用效果。方法：2010年2月~2015年2月期间,于我院选取64例主动脉夹层术后低氧血症患者作为研究对象,随机将患者等分为试验组和对照组,试验组早期给予俯卧位通气治疗,对照组给予早期仰卧位通气治疗,比较两组临床效果。结果：在氧分压（Pa O_2）、吸入氧浓度（Fi O_2）、氧指数（OI）、收缩压（SAP）方面,试验组明显优于对照组,差异比较有统计学意义（P〈0.05）。结论：早期俯卧位通气在主动脉夹层术后低氧血症患者中的应用,效果满意,值得临床应用。

Objective：To explore the nursing implications of prone position ventilation in early stage in the hyoxemia patients who have experienced the sur- gery of aortic dissection. Methods： From February 2010 to February 2015, we chose 64 hyoxemia patients who had experienced the surgery of aortic dissec- tion as the objects of study and randomly divided them into the experimental group and the control group. We treated the former group with prone position ventilation in the early stage and the latter with supine position ventilation. And we compared the clinical effects of the two groups. Results ： The experimen- tal group was obviously better than the control group in the aspects of partial pressure of oxygan, forced inspirutory oxygen, oxygen index and systolic pres- sure, and the difference comparison had statistical significance（ P 〈 0. 05 ）. Conclusion ： The nursing implications of prone position ventilation in early stage in the hyoxemia patients who have experienced the surgery of aortic dissection are satisfactory and worth the clinical application.