Effects of prone position combined with reverse Trendelenburg position on oxygenation among acute respiratory distress syndrome patients
10.3760/cma.j.issn.1674-2907.2019.11.022
- VernacularTitle:俯卧位联合反Trendelenburg位对改善ARDS患者氧合功能作用的研究
- Author:
Jumei LYU
1
;
Yongfang HUANG
;
Yan HUANG
;
Qiuping YU
;
Binbin YU
;
Feiyun YU
Author Information
1. 绍兴文理学院附属医院重症医学科
- Keywords:
Respiratory distress syndrome,adults;
Prone position;
Reverse Trendelenburg position;
Oxygenation
- From:
Chinese Journal of Modern Nursing
2019;25(11):1413-1416
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effects of prone position combined with reverse Trendelenburg position on improving hypoxemia and respiratory mechanics of acute respiratory distress syndrome (ARDS) patients. Methods? From January 2017 to December 2017, we selected ARDS inpatients in Intensive Care Unit at Affiliated Hospital of Shaoxing University as subjects by convenience sampling. The total of 20 patients were divided into group A and group B with the method of random number table. Patients of group A adopted prone position for two hours firstly, and then they adopted prone position combined with reverse Trendelenburg position for six hours. Patients of group B adopted prone position combined with reverse Trendelenburg position for two hours firstly, and then they adopted prone position for six hours. During treatment, we assessed the function of pulmonary ventilation and respiratory mechanics of patients. Results? There were statistical differences in different time, different groups and interaction between time and groups among ARDS patients between two groups (P＜ 0.01). Two hours after intervention, the oxygenation index of group B was higher than that of group A with no statistical difference (P＞0.05). One, five and eight hours after intervention, the oxygenation indexes of group A were higher than those of group B with statistical differences (P＜ 0.05). The oxygenation index of group A increased with time, and that of group B increased two hours after intervention and then reduced. There was no statistical difference in the respiratory mechanics of patients between two groups (P＞ 0.05). Conclusions? Prone position combined with reverse Trendelenburg position can improve the oxygenation of ARDS patients.
