俯卧位通气加肺复张对急性呼吸窘迫综合征的作用(2)
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关键词 俯卧位通气 肺复张 急性呼吸窘迫综合征
The effect of prone position ventilation and recruitment manoeuvre on acute respiratory distress syndrome
Zhan Xiumei
Department of Respiration，the People's Hospital of Pizhou City，Jiangsu 221300
Abstract Objective：To explore the treatment effect of prone position ventilation and recruitment manoeuvre on acute respiratory distress syndrome in the clinical.Methods：Patients with acute respiratory distress syndrome(ARDS) treated with two combined treatment of prone position ventilation(PP) and recruitment manoeuvre(RM).The treatment interval was 4 hours.The patients whose treatment effect was not obvious were given PP treatment again after 24 hours.The treatment was continued for 6 hours.Before and after treatment，all patients were combined with RM treatment each 2 hours.After 3 times of treatment，the arterial blood gases and oxygenation index of patients before and after the treatment were recorded.The difference was compared by statistical method.Results： There was no severe complications.After treatment， the differences of PaO2， PaCO2， and PaiO2/ FiO2 compared with before treatment were statistically significant (P<0.05).After the third treatment， PaO2 was significantly improved， and the difference was statistically significant(P<0.05).After the second treatment， PaCO2 downward trend was not obvious. The differences of PaO2 / FiO2 for first and second treatment and other several treatment were statistically significant(P<0.05).Conclusion： PP combined with RM in the treatment of ARDS can be beneficial to alleviate the hypoxia and anoxia symptom of the patients.It is conducive to the rehabilitation of patients and rectify the hypercapnia.So it is worth to popularize.
Key words Prone position ventilation；Recruitment manoeuvre；Acute respiratory distress syndrome
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