Clinical Effect of Different Ventilation Time at Prone Position on the Patients with Endogenous/Exogenous ARDS
10.13241/j.cnki.pmb.2017.24.013
- VernacularTitle:不同俯卧位通气时间对中重度肺内/外源性ARDS患者的治疗效果
- Author:
Wenwei GAO
;
Bo ZHAO
;
Zhen QIU
;
Lian LIU
;
Huaxin WANG
- Keywords:
Acute respiratory distress syndrome;
Prone position ventilation;
Oxygenation
- From:
Progress in Modern Biomedicine
2017;17(24):4657-4659
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of different ventilation time in the prone position on patients with endogenous/exogenous ARDS.Methods:30 endogenous/30 exogenous ARDS patients were randomly devided into 4 groups,ventilation in the prone position for 2 h and 4 h.Recording the score of APCHEII,oxygenation index,the absorption situation in X-ray,HR,MAP,extubation time,the time out of ICU.Results:The APCHEII scores HR and MAP in four groups have no significant statistics (P＞0.05);4h ventilation for endogenous ARDS patients has a better indicators than 2 h in oxygenation index,the absorption situation in X-ray,extubation time and the time out of ICU (P＜0.05);2 h and 4 h ventilation for exogenous ARDS patients can improve indicators above,two groups have no significant statistics (P＞0.05),the results of exogenous groups are precede than endogenous group (P＜0.05).Conclusion:Ventilation in the prone position can improve the situation of ARDS patients,both endogenous patients and exogenous patients.Exogenous ARDS patients have a better treatment effect after the ventilation of 2h,however,endogenous patients need longer time and have a non-ideal prognosis.
