仰卧位和俯卧位肺复张对重症肺炎患者治疗效果的比较

仰卧位和俯卧位肺复张对重症肺炎患者治疗效果的比较
于永福;于湘友;贾民
【期刊名称】《东南大学学报（医学版）》
【年(卷),期】2014(000)002
【摘要】目的：评价仰卧位、俯卧位肺复张对重症肺炎患者血流动力学、氧合的影响。

方法：将90例重症肺炎患者随机分为仰卧位肺复张组、俯卧位肺复张组、仰卧位肺复张＋俯卧位肺复张组。

监测肺复张前、肺复张后5 min、复张后1 h血流动力学和氧合的变化。

结果：两种体位下肺复张前和肺复张后5 min中心静脉压（CVP）、心脏指数（CI）均降低，差异均有统计学意义（P＜0．05），但肺复张后1 h血流动力学指标已接近肺复张前；两种体位肺复张前后氧合指数
（ PaO2/FiO2）均升高，差异均有统计学意义（ P＜0.05），且俯卧位肺复张后1h氧合改善程度较仰卧位肺复张后1h明显。

结论：仰卧位肺复张和俯卧位肺复张后的氧合指数明显高于肺复张前，俯卧位比仰卧位肺复张更能改善患者氧合，肺复张对血流动力学影响不明显。

%Objective: To explore the effects of prone and supine position ventilation combined with recruitment maneuver on patients with severe pneumonia .Methods:90 cases were randomly divided into three groups , including prone position group , supine position group , prone position combined supine position group .Results:Compared with data before recruitment maneuver , CI and CVP were decreased significantly after recruitment maneuver 5 minutes in&nbsp;both supine position and prone position group (P<0.05), then they returned to the base level an hour later ,but significant differences in PaO 2/FiO2 were
found between before and after recruitment maneuver when patients
'position was changed , and it suggest that recruitment maneuver improved oxygenation more effectively in prone compared with supine position . Conclusions: Prone and supine position ventilation combined with recruitment maneuver significantly improves oxygenation in severe pneumonia patients ,but slightly changes hemodynamics .
【总页数】4页(P167-170)
【作者】于永福;于湘友;贾民
【作者单位】新疆医科大学第一附属医院，新疆乌鲁木齐 830011;新疆医科大学第一附属医院，新疆乌鲁木齐 830011;新疆医科大学第一附属医院，新疆乌鲁木齐 830011
【正文语种】中文
【中图分类】R563.1
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