攀岩式体位用于清醒俯卧位患者效果观察

Effect of rock-climbing position for awake prone positioning patients

目的 提高清醒患者俯卧位耐受性和通气治疗效果。方法 将75例普通型新型冠状病毒肺炎患者随机分为对照组39例、观察组36例;在常规治疗的基础上对照组给予常规俯卧位,观察组给予攀岩式俯卧位。连续1周后评价效果。结果 观察组第2个及第7个24 h俯卧位时间及总时间显著长于对照组,俯卧位48 h氧合指数显著高于对照组,俯卧位24 h颈腰部酸痛发生率显著低于对照组(均P<0.05),未发生压力性损伤。结论 与常规俯卧位通气方式比较,清醒患者对攀岩式俯卧位耐受性更好,早期治疗效果明显、安全。

Objective To improve the tolerability of prone positioning and the effect of ventilation in awake patients.Methods Seventy-five patients with common type COVID-19 were randomly assigned to a control group of 39 and an intervention group of 36,receiving either usual or rock-climbing prone positioning besides conventional treatment,respectively.The effect was evaluated after 1 week of treatment.Results The intervention group had significantly longer length of time proned on the 2nd and 7th 24-h period of prone positioning and the total prone positioning time,higher oxygenation index at 48 h in prone position,and lower incidence of cervical and lumbar pain at 24 h in prone position compared with the control group(all P<0.05),and no pressure injury occurred.Conclusion Rock-climbing prone position is better tolerated than conventional prone ventilation in awake patients,yielding notable and safe outcomes during the early stage of treatment.