Effect of modified prone ventilation on the occurrence of pressure injuries in patients in the critical care department
改良俯卧位通气方式对重症医学科患者压力性损伤发生情况的影响

摘要

目的 分析讨论改良俯卧位通气方式对重症医学科患者压力性损伤发生情况的影响效果。方法 选择我院2023年9月-2024年9月所接收的60例诊断为肺部感染或呼吸道疾病患者为研究对象，平均分为观察组（改良俯卧位通气方式）与对照组（常规通气方式），将两组治疗前后肺部功能各项指标与呼吸力学指标以及治疗后的压力性损伤发生情况进行比较。结果 治疗后观察组肺功能各指标[血氧分压（84.92±8.72）P/kPa，第一秒用力呼吸容积（86.31±3.24）ml，用力肺活量（76.55±7.14）L]高于对照组（P<0.05）；观察组呼吸力学指标改善度[气道阻力（9.12±1.98）cmH2O/（L.s），呼吸做功（0.34±0.12）J/L，动态顺应性（35.25±5.01）mL/cmH2O]比对照组高（P<0.05）；观察组压力性损伤发生率（10.00%）低于对照组（P<0.05）。结论 改良俯卧位通气方式对重症医学科患者治疗效果明显，可明显降低压力性损伤发生率，值得广泛推广与应用。

Abstract

Objective To analyze and discuss the effect of modified prone ventilation on the occurrence of stress injury in ICU patients.
Methods select our 2023.09-2024.09 received 60 patients diagnosed with pulmonary infection or respiratory disease as the study object, average divided into observation group (improved prone ventilation) and control group (conventional ventilation), the two groups before and after treatment and respiratory mechanical indicators and compare the occurrence of stress injury after treatment.
Results Each index of lung function in the observation group after treatment [blood oxygen partial pressure (84.92 ± 8.72) P / kPa, At the first second (86.31 ± 3.24) ml, Forced lung living capacity (76.55 ± 7.14) L] was higher than that of the control group (P <0.05); Improvement of respiratory mechanics index in the observation group [Airway resistance (9.12±1.98)cmH2O/(L.s), Respiratory work (0.34 ± 0.12) J / L, Dynamic compliance (35.25 ± 5.01) mL / cmH2O] was higher than the control group (P <0.05); The incidence of stress injury in the observation group (10.00%) was lower than that in the control group (P <0.05).
Conclusion   The improved prone ventilation has obvious effect on critical care patients and can significantly reduce the incidence of stress injury, which is worthy of extensive promotion and application.