ECMO联合俯卧位通气在重症肺炎中针对性护理的应用

Application of ECMO combined with prone ventilation in targeted nursing in severe pneumonia

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DOI 10.12208/j.jmnm.20240127
刊名
Journal of Modern Nursing MedicineJPCNS
年,卷(期) 2024, 3(3)
作者
作者单位

安徽医科大学第一附属医院 安徽合肥 ;

摘要
探讨针对性护理应用在采取ECMO联合俯卧位通气治疗的重症肺炎(SAP)中的效果。方法 采用回顾性研究方法,选择院内就诊的106例ECMO+俯卧位通气治疗的SAP患者(样本纳入例数:106例;样本纳入时间:2022年1月至2023年12月),以随机摸球为基础分组方式,分为对照、观察两个小组,观察例数高度一致。分别实施常规护理,针对性护理。各53例,对比效果。结果 观察组肺功能(FEV1/FVC/PEFR)、并发症(低血压/栓塞/感染/凝血与出血)发生率、症状(发热/喘促/咳痰/咳嗽)缓解时间、生活质量(情绪功能/角色功能/认知功能/躯体功能)评分优于对照组(P<0.05)。结论 ECMO联合俯卧位通气在对SAP治疗期间配合针对性护理存在显著效果,在改善肺功能、生活质量中意义重大,值得应用。
Abstract
Objective To investigate the effect of targeted nursing application in severe pneumonia (SAP) treated with ECMO combined with prone ventilation. Methods Using a retrospective study method, 106 SAP patients treated with ECMO and prone ventilation in the hospital were selected (sample number: 106; sample inclusion period: January 2022 to December 2023). They were randomly divided into control and observation groups based on ball touching, with a highly consistent number of observation cases. Implement routine care and targeted care separately. 53 cases each, compare the effects. Results The observation group had better scores in lung function (FEV1/FVC/PEFR), incidence of complications (hypotension/embolism/infection/coagulation and bleeding), symptom relief time (fever/wheezing/sputum/cough), and quality of life (emotional function/role function/cognitive function/physical function) compared to the control group (P<0.05). Conclusion ECMO combined with prone ventilation has a significant effect on the treatment of SAP with targeted nursing, which is of great significance in improving lung function and quality of life, and is worthy of application.
关键词
重症肺炎;ECMO;并发症;俯卧位通气;肺功能;生活质量;针对性护理
KeyWord
Severe pneumonia; ECMO; Complication; Prone ventilation; Lung function; Quality of life; Targeted care
基金项目
页码 87-89
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肖文婷*,付红,程凤. ECMO联合俯卧位通气在重症肺炎中针对性护理的应用 [J]. 现代护理医学杂志. 2024; 3; (3). 87 - 89.

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