俯卧位肺复张对重症肺炎并发ARDS患者的治疗效果研究

中华养生保健 ›› 2024, Vol. 42 ›› Issue (20): 9-12.

俯卧位肺复张对重症肺炎并发ARDS患者的治疗效果研究

杨蕊, 李海红, 张颖, 关丽萍, 王烁, 谷明利^*

牡丹江医学院附属红旗医院重症医学科,黑龙江牡丹江,157011

出版日期:2024-10-16 发布日期:2024-10-14
通讯作者: ^*谷明利,E-mail：gml5313666@126.com。
作者简介:杨蕊（1986—）,女,汉族,籍贯：黑龙江省鹤岗市,本科,主管护师,研究方向：呼吸机、血液净化。
基金资助:
牡丹江市科学技术局科研课题（HT2022NS117）; 黑龙江省卫生健康委科研课题（20231717010214）

A Study of the Therapeutic Eff ect of Prone Lung Reconstruction in Patients with Severe Pneumonia Complicated by ARDS

YANG Rui LI Hai-hong ZHANG Ying GUAN Li-ping WANG Shuo GU Ming-li^*

Department of Intensive Care Medicine, Affiliated Hongqi Hospital of Mudanjiang Medical University,Mudanjiang Heilongjiang, 157011, China

Online:2024-10-16 Published:2024-10-14

摘要/Abstract

摘要： 目的研究重症肺炎并发急性呼吸窘迫综合征（Acute Respiratory Distress Syndrome;Respiratory-Distress Syndrome,ARDS）患者采用俯卧位肺复张治疗的临床效果。方法选取2021年12月—2023年12月在牡丹江医学院附属红旗医院中重症医学科接受治疗的重症肺炎并发ARDS患者80例作为研究对象,依据随机数表法将其分为观察组和对照组,各40例,两组患者均采取肺复张治疗,治疗过程中对照组患者采取仰卧体位,观察组患者接受俯卧体位,比较两组治疗效果。结果治疗后,与治疗前相比,两组氧浓度分数、呼气末正压通气水平均降低,且观察组与对照组相比以上指标均降低;与治疗前相比,动脉血氧分压及氧合指数等均升高,且观察组与对照组相比以上指标均升高,差异有统计学意义（P<0.05）。观察组的机械通气时间、入住ICU时间均短于对照组,28 d时病死率低于对照组,差异均有统计学意义（P<0.05）;观察组不良反应发生率低于对照组,差异有统计学意义（P<0.05）。结论在重症肺炎并发ARDS患者治疗中采取俯卧位肺复张干预,能够使治疗效果得到进一步提升,使患者的氧合指数得到显著改善,且可减少治疗过程中不良反应发生,提高疾病控制效果。

关键词: 重症肺炎, ARDS, 俯卧位肺复张, 效果研究

Abstract: Objective To study the clinical effect of severe pneumonia pneumonia in patients with respiratory distress syndrome (respiratory distress syndrome; respiratory-distress syndrome, ARDS). Methods The study case screening for December 2021 to December 2023 in 8 intensive pneumonia with ARDS of 80 cases, group way is random number table method, group includes observation group 40 cases and 40 cases, the two groups of patients with lung double treatment, the control group patients take supine position, the observation group patients accept prone position, compare the two groups of treatment effect. Results After treatment, compared with before treatment, the oxygen concentration fraction and positive end expiratory pressure ventilation levels in both groups decreased, and the observation group patients showed a decrease compared to the control group; The arterial oxygen partial pressure and oxygenation index were all elevated, and the observation group patients were compared with the control group, with significant differences in results between the groups (P<0.05).The mechanical ventilation time and ICU stay time of the observation group patients were shorter than those of the control group, and the mortality rate at 28 days was lower than that of the control group ( P<0.05); The incidence of adverse reactions in the observation group was only 2.50%, significantly lower than the 15.00% incidence of adverse reactions in the control group (χ²=3.913, P=0.047). Conclusion In the treatment of severe pneumonia and ARDS patients, it can further improve the treatment effect, significantly improve the oxygenation index of patients, reduce the occurrence of adverse reactions in the treatment process, and improve the disease control effect.

Key words: severe pneumonia, ARDS, prone lung reconstruction, effect study

中图分类号:

R563.1

杨蕊, 李海红, 张颖, 关丽萍, 王烁, 谷明利. 俯卧位肺复张对重症肺炎并发ARDS患者的治疗效果研究[J]. 中华养生保健, 2024, 42(20): 9-12.

YANG Rui LI Hai-hong ZHANG Ying GUAN Li-ping WANG Shuo GU Ming-li. A Study of the Therapeutic Eff ect of Prone Lung Reconstruction in Patients with Severe Pneumonia Complicated by ARDS[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(20): 9-12.

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