俯臥位通氣加肺復(fù)張對(duì)急性呼吸窘迫綜合征的作用

精品文檔-下載后可編輯俯臥位通氣加肺復(fù)張對(duì)急性呼吸窘迫綜合征的作用doi：10.3969/j.issn.1007-614x.2022.15.24

摘要目的：探討在臨床上采取俯臥位通氣（PP）加肺復(fù)張（RM）對(duì)急性呼吸窘迫綜合征（ARDS）的治療效果。方法：針對(duì)ARDS患者采取PP治療加RM聯(lián)合治療2次，治療間隔4小時(shí)。對(duì)于治療效果不明顯的患者采取24小時(shí)之后的再次PP治療，持續(xù)6小時(shí)。并在治療的前后各2小時(shí)節(jié)點(diǎn)聯(lián)合RM治療。記錄患者在3次治療前后的動(dòng)脈血?dú)夂脱鹾现笜?biāo)。并采取統(tǒng)計(jì)學(xué)方法比較差異。結(jié)果：42例患者在治療的過(guò)程中，未出現(xiàn)嚴(yán)重并發(fā)癥。治療后PaO2、PaCO2、PaO2/FiO2與治療前相比，差異均有統(tǒng)計(jì)學(xué)意義（P

關(guān)鍵詞俯臥位通氣肺復(fù)張急性呼吸窘迫綜合征

Theeffectofpronepositionventilationandrecruitmentmanoeuvreonacuterespiratorydistresssyndrome

ZhanXiumei

DepartmentofRespiration，thePeople'sHospitalofPizhouCity，Jiangsu221300

AbstractObjective：Toexplorethetreatmenteffectofpronepositionventilationandrecruitmentmanoeuvreonacuterespiratorydistresssyndromeintheclinical.Methods：Patientswithacuterespiratorydistresssyndrome（ARDS）treatedwithtwocombinedtreatmentofpronepositionventilation（PP）andrecruitmentmanoeuvre（RM）.Thetreatmentintervalwas4hours.ThepatientswhosetreatmenteffectwasnotobviousweregivenPPtreatmentagainafter24hours.Thetreatmentwascontinuedfor6hours.Beforeandaftertreatment，allpatientswerecombinedwithRMtreatmenteach2hours.After3timesoftreatment，thearterialbloodgasesandoxygenationindexofpatientsbeforeandafterthetreatmentwererecorded.Thedifferencewascomparedbystatisticalmethod.Results：Therewasnoseverecomplications.Aftertreatment，thedifferencesofPaO2，PaCO2，andPaiO2/FiO2comparedwithbeforetreatmentwerestatisticallysignificant（P

KeywordsPronepositionventilation；Recruitmentmanoeuvre；Acuterespiratorydistresssyndrome

doi：10.3969/j.issn.1007-614x.2022.15.24

摘要目的：探討在臨床上采取俯臥位通氣（PP）加肺復(fù)張（RM）對(duì)急性呼吸窘迫綜合征（ARDS）的治療效果。方法：針對(duì)ARDS患者采取PP治療加RM聯(lián)合治療2次，治療間隔4小時(shí)。對(duì)于治療效果不明顯的患者采取24小時(shí)之后的再次PP治療，持續(xù)6小時(shí)。并在治療的前后各2小時(shí)節(jié)點(diǎn)聯(lián)合RM治療。記錄患者在3次治療前后的動(dòng)脈血?dú)夂脱鹾现笜?biāo)。并采取統(tǒng)計(jì)學(xué)方法比較差異。結(jié)果：42例患者在治療的過(guò)程中，未出現(xiàn)嚴(yán)重并發(fā)癥。治療后PaO2、PaCO2、PaO2/FiO2與治療前相比，差異均有統(tǒng)計(jì)學(xué)意義（P

關(guān)鍵詞俯臥位通氣肺復(fù)張急性呼吸窘迫綜合征

Theeffectofpronepositionventilationandrecruitmentmanoeuvreonacuterespiratorydistresssyndrome

ZhanXiumei

DepartmentofRespiration，thePeople'sHospitalofPizhouCity，Jiangsu221300

AbstractObjective：Toexplorethetreatmenteffectofpronepositionventilationandrecruitmentmanoeuvreonacuterespiratorydistresssyndromeintheclinical.Methods：Patientswithacuterespiratorydistresssyndrome（ARDS）treatedwithtwocombinedtreatmentofpronepositionventilation（PP）andrecruitmentmanoeuvre（RM）.Thetreatmentintervalwas4hours.ThepatientswhosetreatmenteffectwasnotobviousweregivenPPtreatmentagainafter24hours.Thetreatmentwascontinuedfor6hours.Beforeandaftertreatment，allpatientswerecombinedwithRMtreatmenteach2hours.After3timesoftreatment，thearterialbloodgasesandoxygenationindexofpatientsbeforeandafterthetreatmentwererecorded.Thedifferencewascomparedbystatisticalmethod.Results：Therewasnoseverecomplications.Aftertreatment，thedifferencesofPaO2，PaCO2，andPaiO2/FiO2compare