胡昌妹 辜惠兰

【摘要】 目的：讨论重症肺炎合并急性呼吸窘迫综合征患者应用俯卧位机械通气的应用效果及护理措施。方法：选取本院2019年4月-2020年4月收治的102例重症肺炎合并急性呼吸窘迫综合征患者，根据入院先后顺序分为试验组与对照组，每组51例。对照组选择仰卧位机械通气，试验组选择俯卧位机械通气，全程实施护理干预。结果：治疗前两组机械通气相关指标差异无统计学意义（P>0.05），治疗24 h后，试验组机械通气相关指标均优于对照组;试验组护理满意度（96.08%）高于对照组（82.35%），差异有统计学意义（P<0.05）。结论：俯卧位机械通气应用于重症肺炎合并急性呼吸窘迫综合征患者，实施有效地护理措施，可有效改善患者血氧状态，可提高护理满意度。

【关键词】 俯卧位机械通气 重症肺炎 急性呼吸窘迫综合征 护理措施

doi：10.14033/j.cnki.cfmr.2020.26.036 文献标识码 B 文章编号 1674-6805（2020）26-00-03

Application Effect and Nursing Measures of Prone Position Mechanical Ventilation in Patients with Severe Pneumonia Complicated with Acute Respiratory Distress Syndrome/HU Changmei， GU Huilan. //Chinese and Foreign Medical Research， 2020， 18（26）： -98

[Abstract] Objective： To discuss the application effect and nursing measures of prone position mechanical ventilation in patients with severe pneumonia complicated with acute respiratory distress syndrome. Method： A total of 102 patients with severe pneumonia complicated with acute respiratory distress syndrome in our hospital from April 2019 to April 2020 were selected and divided into the experimental group and the control group according to the order of admission， 51 cases in each group. The control group chose supine mechanical ventilation， and the experimental group chose prone mechanical ventilation with the whole process of nursing intervention. Result： Before treatment， there were no significant differences in mechanical ventilation related indexes between the two groups （P>0.05）. After 24 hours of treatment， the mechanical ventilation related indexes of the experimental group were better than those of the control group （P<0.05）. The nursing satisfaction of the experimental group （96.08%） was higher than that of the control group （82.35%）， the difference was statistically significant （P<0.05）. Conclusion： Prone position mechanical ventilation and effective nursing measures in patients with severe pneumonia complicated with acute respiratory distress syndrome can effectively improve the blood oxygen status of patients， and improve nursing satisfaction.

[Key words] Prone position mechanical ventilation Severe pneumonia Acute respiratory distress syndrome Nursing measures

First-authors address： The First Affiliated Hospital of Xiamen University， Xiamen 361003， China

重癥肺炎合并急性呼吸窘迫综合征是临床上一种危及生命的危重症，其病死率比较高。虽然治疗技术在不断地进步，但是此类疾病病死率依然比较高，患者肺泡内毛细血管膜的通透性逐渐增高，肺内的水分和血浆成分逐渐向肺泡渗出，导致水肿的发生[1-3]。俯卧位机械通气主要是指实施机械通气时协助患者采取俯卧位，该体位可改变膈肌的位置和运动方式，有利于对分泌物的引流，降低纵隔与心脏对肺的压迫，还可以减少患者的肺内分流，促使气体和血液分流再次分布，从而帮助患者改善氧合状态[4]。本文选取本院收治的重症肺炎合并急性呼吸窘迫综合征患者，实施俯卧位机械通气与护理干预，对其效果进行讨论分析。

1 资料与方法

1.1 一般资料

选取本院2019年4月-2020年4月收治的102例重症肺炎合并急性呼吸窘迫综合征患者，纳入标准：均经过临床CT检查符合本次试验的临床诊断标准。排除……