肺内源性ARDS俯卧位通气与传统呼吸机治疗的效果分析

Effect of Prone Position Ventilation for Endogenous Pulmonary ARDS and Conventional Ventilation

目的分析对比肺内源性急性呼吸窘迫综合征(ARDS)俯卧位通气与传统呼吸机的临床治疗效果。方法选取2018年1月至12月重庆市垫江县人民医院收治的56例肺内源性急性呼吸窘迫综合征患者为研究对象,采用数字随机法将其平均分为观察组和对照组。对照组给予传统呼吸机治疗,观察组在传统呼吸机治疗基础上给予ARDS俯卧位通气干预治疗,对比两组患者的临床治疗效果。结果观察组的氧合指数均优于对照组(P<0.05)。观察组的呼吸机使用时间、ICU住院时间、住院时间、脱管时间均短于对照组,观察组病死率(13.89)显著低于对照组(23.68%),差异有统计学意义(P<0.05)。结论肺内源性急性呼吸窘迫综合征在传统呼吸机治疗的基础上给予ARDS俯卧通气干预,可以改善患者氧合指数降低病死率。

Objective To analyze and compare the clinical effects of prone position ventilation and traditional ventilator for pulmonary endogenous acute respiratory distress syndrome(ARDS).Methods Fifty-six patients with pulmonary endogenous ARDS were selected from January to December 2018 in the People's Hospital of Dinjiang County,Chongqing.They were equally divided into observation group and control group by digital random method.The control group was given traditional ventilator treatment,while the observation group was given ARDS prone position ventilation intervention treatment on the basis of traditional ventilator treatment.The clinical efficacy of the two groups was compared.Results The oxygenation index of the observation group was better than that of the control group(P<0.05).The ventilator use time,ICU hospitalization time,hospitalization time and detubation time of the observation group were shorter than those of the control group,and the mortality rate of the observation group(13.89)was lower than that of the control group(23.68%).The difference were statistically significant(P<0.05).Conclusion Intervention of ARDS prone ventilation on the basis of traditional ventilator treatment can improve oxygenation index and reduce mortality in patients with pulmonary endogenous ARDS.