俯卧位通气加肺复张对急性呼吸窘迫综合征的作用
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doi：10.3969/j.issn.1007-614x.2014.15.24
摘 要 目的：探讨在临床上采取俯卧位通气（PP）加肺复张（RM）对急性呼吸窘迫综合征（ARDS）的治疗效果。方法：针对ARDS患者采取PP治疗加RM联合治疗2次，治疗间隔4小时。对于治疗效果不明显的患者采取24小时之后的再次PP治疗，持续6小时。并在治疗的前后各2小时节点联合RM治疗。记录患者在3次治疗前后的动脉血气和氧合指标。并采取统计学方法比较差异。结果：42例患者在治疗的过程中，未出现严重并发症。治疗后PaO2、 PaCO2、 PaO2/FiO2与治疗前相比，差异均有统计学意义（P
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
Key words Prone position ventilation；Recruitment manoeuvre；Acute respiratory distress syndrome
doi：10.3969/j.issn.1007-614x.2014.15.24
摘 要 目的：探讨在临床上采取俯卧位通气（PP）加肺复张（RM）对急性呼吸窘迫综合征（ARDS）的治疗效果。方法：针对ARDS患者采取PP治疗加RM联合治疗2次，治疗间隔4小时。对于治疗效果不明显的患者采取24小时之后的再次PP治疗，持续6小时。并在治疗的前后各2小时节点联合RM治疗。记录患者在3次治疗前后的动脉血气和氧合指标。并采取统计学方法比较差异。结果：42例患者在治疗的过程中，未出现严重并发症。治疗后PaO2、 PaCO2、 PaO2/FiO2与治疗前相比，差异均有统计学意义（P
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
Key words Prone position ventilation；Recruitment manoeuvre；Acute respiratory distress syndrome