不同卧位方式在慢性阻塞性肺疾病急性加重期通气治疗中的应用

doi:10.20047/j.issn1673-7210.2022.29.36

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Abstract Objective To explore the application of different supine positions in the ventilation treatment of acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods A total of 102 AECOPD patients who received mechanical ventilation in Nantong Third People’s Hospital of Jiangsu Province from July 2017 to June 2020 were selected. The patients were divided into control group and observation group by random number table method, with 51 cases in each group. Both groups were given routine mechanical ventilation nursing, while the control group was given conventional supine position intervention, and the observation group was given prone position ventilation position intervention. The differences between the two groups of oxygenation index (PaO2/FiO2), pH value, positive end-expiratory pressure (PEEP), dynamic lung compliance (Cdyn), and the degree of recovery were observed and compared before and after the intervention for 72 h. Results After 72 h of intervention, the PEEP and Cdyn of the two groups were higher than those before the intervention, while those of the observation group were higher than those of the control group, and the differences were statistically significant (P ＜ 0.05). After 72 h of intervention, the PaO2/FiO2 and pH values of the observation group were higher than those before the intervention, while those of the observation group were higher than those of the control group, and the differences were statistically significant (P ＜ 0.05). After 72 h of intervention, the acute physiology and chronic health evaluation score system score of the observation group was lower than that before the intervention, while the observation group was lower than the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Mechanical ventilation in prone position can improve oxygenation index and blood gas analysis value, significantly improve lung compliance, and reduce the severity of the patient’s condition.

Key words： Mechanical ventilation treatment in the prone position Chronic obstructive pulmonary disease Acute phase onset Acute physiology and chronic health evaluation-Ⅱ score

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	DU Fengyan ZHANG Yun WANG Dongli LU Yumei▲

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DU Fengyan ZHANG Yun WANG Dongli LU Yumei▲. Application of different supine positions in ventilation therapy for acute exacerbation of chronic obstructive pulmonary disease[J]. 中国医药导报, 2022, 19(29): 157-160.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.29.36 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I29/157

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