心脏手术后急性呼吸窘迫综合征患者俯卧位通气治疗效果及有效时长观察

doi:10.16460/j.issn1008-9969.2023.09.060

摘要/Abstract

摘要： 目的观察俯卧位通气治疗在心脏手术后急性呼吸窘迫综合征患者中的应用效果及有效通气时长。方法通过病例回顾收集武汉市某三级医院心脏外科重症监护室术后并发急性呼吸窘迫综合征患者的俯卧位通气治疗相关资料,对治疗前、中（4 h、8 h、12 h）、后的各项通气指标进行统计学分析。结果与俯卧位通气治疗前相比,患者治疗4 h、8 h、12 h时的氧合指数、氧分压均显著上升（P<0.05）;治疗4 h组的氧合指数增长速度与氧分压增长速度高于12 h组（P<0.05）;治疗结束6 h时的氧合指数与氧分压高于俯卧位通气治疗前（P<0.05）。结论俯卧位通气治疗是一项安全且有效的改善心脏手术后急性呼吸窘迫综合征患者氧合功能的措施,但其有效时长仍需进一步的探索。

关键词: 俯卧位通气, 心脏手术, 急性呼吸窘迫综合征, 机械通气, 氧合指数

Abstract: Objectives To observe the effect and effective duration of prone ventilation in patients with acute respiratory distress syndrome (ARDS) after cardiac surgery. Methods We retrospectively collected the data of ARDS patients with prone ventilation in the cardiac surgery intensive care unit of a tertiary hospital in Wuhan. The ventilation indicators before, during (4 h, 8 h, 12 h), and after prone ventilation therapy were statistically analyzed. Results Oxygenation index and PaO₂ at 4 h, 8 h, and 12 h of prone ventilation therapy increased significantly than baseline (P<0.05), which were more obvious in the 4h group when compared with those in the 12 h group (P<0.05); oxygenation index and PaO₂ at 6 h after prone ventilation therapy were higher than those before the treatment (P<0.05). Conclusion Prone ventilation was safe and effective in improving oxygenation in patients with ARDS after cardiac surgery, but the effective duration still needs further exploration.

Key words: prone ventilation, cardiac surgery, acute respiratory distress syndrome, mechanical ventilation, oxygenation index

中图分类号:

R473.6

江雅倩, 陈钊, 徐海燕, 吴前胜, 周雁荣. 心脏手术后急性呼吸窘迫综合征患者俯卧位通气治疗效果及有效时长观察[J]. 护理学报, 2023, 30(9): 60-63.

JIANG Ya-qian, CHEN Zhao, XU Hai-yan, WU Qian-sheng, ZHOU Yan-rong. Effect and effective duration of prone ventilation in patients with acute respiratory distress[J]. Journal of Nursing, 2023, 30(9): 60-63.

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