摘要
目的探讨不同侧卧位护理对ARDS患者通气效果的影响,为采取最佳侧卧位通气提供依据。方法选择行机械通气的60例ARDS患者分为A、B组,A组为侧卧位45°组,B组为侧卧位90°组,比较治疗前后ARDS患者血流动力学、血气指标。结果不同体位机械通气对ARDS患者的血流动力学均无显著影响(P>0.05);与通气前比较,2组体位通气24 h的p(O_2)、p(CO_2)与p(O_2)/FiO_2均显著增加(P<0.05);B组机械通气时间显著高于A组(P<0.05);A组发生1例气管脱落,B组未出现并发症。结论患者对侧卧位90°耐受性高,并发症少,且能够有效改善氧合。
Objective To discuss the effect of different lateral position nursing on mechanical ventilation of patients with ARDS, so as to provide evidence for the best lateral position for ventilation. Methods A total of 60 ventilation patients with ARDS were divided into lateral position at 45° group （A group） and lateral position at 90° group（ B group）. Hemodynamics and blood gas indexes of both groups before and after care were compared. Results Different lateral position nursing had no signifi- cant effect on hemodynamics （ P 〉 0.05 ）. After 24 hours of ventilation, p （ 02 ）, p （ CO2 ） and p（ 02 ）/FiO2 in both groups were significantly increased （P 〈 0.05 ）. Ventilation time in B group were significantly longer than that in A group （ P 〈 0.05 ）. There was one case with tracheal shedding in A group and no complications were seen in B group. Conclusion Patients have high tolerance and fewer complications in lateral position at 90°, and the position could effectively improve oxygenation.
出处
《中西医结合护理（中英文）》
2015年第4期46-48,共3页
Journal of Clinical Nursing in Practice
