俯卧位通气在治疗重症ARDS中的效果观察

Observation on the Effect of Prone Position Ventilation in the Treatment of Severe ARDS

目的:分析俯卧位通气在治疗重症ARDS中的效果。方法:根据随机数字法选取2018年3月~2019年5月呼吸内科科收治的104例重症ARDS患者作为治疗对象,将其分为对照组与治疗组各52例,对照组患者进行常规仰卧位通气治疗,治疗组患者进行俯卧位通气治疗,比较两组患者的治疗后动脉氧分压、吸入氧浓度比值,RICU的住院时间、机械通气时间和死亡率。结果:治疗后,对照组的动脉氧分压与吸入氧浓度数值低于治疗组,两组数据差异显著,对比具有统计学意义(P<0.05);对照组RICU的住院时间、机械通气时间均长于治疗组,两组数据差异显著,对比具有统计学意义(P<0.05);对照组死亡率(19.23%)高于治疗组(1.92%),两组数据差异显著,对比具有统计学意义(P<0.05)。结论:俯卧位通气在治疗重症ARDS中的效果显著,在临床上值得进一步推广。

Objective:To analyze the effect of prone position ventilation in the treatment of severe ARDS.Methods:104 patients with severe ARDS treated in a hospital from March 2018 to May 2019 were selected and divided into control group(n=52)and treatment group(n=52)by random digital method.The patients in the control group were treated with routine supine position ventilation,and the patients in the treatment group were treated with prone position ventilation.The partial pressure of arterial oxygen,the ratio of inhaled oxygen concentration,the hospitalization time of RICU,the time of mechanical ventilation,and the mortality were compared between the two groups.Results:After treatment,the partial pressure of arterial oxygen and the concentration of inhaled oxygen in the control group were lower than those in the treatment group,and the difference was statistically significant(P<0.05).The hospitalization time and mechanical ventilation time of RICU in the control group were longer than those in the treatment group,the data of the two groups were significantly different,with statistical significance(P<0.05).The mortality of the control group(19.23%)was significantly higher than that of the treatment group(1.92%),and the difference between the two groups was statistically significant(P<0.05).Conclusion:Prone position ventilation is effective in the treatment of severe ARDS and is worth popularizing in clinic.