Evaluation of the effect of prone ventilation in severe pneumonia in high-altitude areas
10.3761/j.issn.0254-1769.2024.22.008
- VernacularTitle:高海拔地区重症肺炎患儿俯卧位通气的效果评价
- Author:
Zongying ZHANG
1
;
Jinfang LIU
;
Mei GE
;
Hui LI
;
Shengkui ZHAO
;
Youcang WAN
;
Chenglan ZHOU
;
Weilin ZHAO
Author Information
1. 810007 西宁市 青海省妇女儿童医院护理部
- Keywords:
Pneumonia;
Prone Ventilation;
High Altitude;
Pediatric Nursing
- From:
Chinese Journal of Nursing
2024;59(22):2742-2746
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of prone ventilation in children with severe pneumonia at high altitude.Methods By convenience sampling method,80 children with severe pneumonia hospitalized in intensive care department of a tertiary A children's hospital in Xining,Qinghai Province from June 2021 to June 2023 were selected as the study subjects,and the regional randomization group method was used to divide into a test group and a control group with 40 cases in each group.On the basis of routine care,the test group received prone ventilation once a day for 6 to 12 h;the control group received supine ventilation.Respiratory mechanical parameters(oxygenation index,oxygen saturation,arterial oxygen partial pressure,arterial CO2 partial pressure),mechanical ventilation duration and safety parameters(incidence of unplanned extubation,stress injury)at 6 h and 12 h of mechanical ventilation were compared.Results There were no shedding cases.The interaction between oxygenation index,blood oxygen saturation and arterial oxygen partial pressure(P＜0.05)in the 2 groups was compared(P＞0.05).The results of simple effect analysis showed that at 6 h,the oxygen saturation and oxygenation index in the test group were higher than those in the control group,and the difference was statistically significant(P＜0.05).At 12 h of mechanical ventilation,the oxygenation index,blood oxygen saturation and arterial oxygen partial pressure in the test group were higher than those in the control group,and the difference was statistically significant(P＜0.05).The time of mechanical ventilation in the test group was102.00(60.00,153.00)h and 126.00(108.00,156.00)h in the control group,and the difference was statistically significant(P=0.013).The incidence of unplanned extubation and pressure injury were compared,and the differences in 2 groups were not significant(P＞0.05).Conclusion Prone ventilation in children with severe pneumonia at high altitude is safe and feasible,which is helpful to improve the respiratory function and shorten the time of mechanical ventilation.
