Study on the application and evaluation of optimizing prone ventilation process and nursing in child ARDS
优化俯卧位通气流程及护理在儿童ARDS的应用及评价研究

摘要

目的 探讨优化俯卧位通气流程及护理在儿童急性呼吸窘迫综合征（ARDS）患儿上机过程中的应用效果。方法 回顾性收集2017年8月～2018年8月我院重症医学科（ICU）收治的进行俯卧位通气的中重度ARDS患儿，实施优化俯卧位通气流程及护理的临床资料。所获数据进行统计学分析。结果 10名ARDS上机患儿通过充分镇静,优化护理及俯卧位通气流程，无死亡病例，好转出院率100%。经配对t检验，10名ARDS上机患儿实施优化护理和俯卧位通气流程后在各项指标，前后差异均有统计学意义(P<0.05)。结论 优化俯卧位通气流程及护理，能减少该项操作并发症的发生，有效改善患儿氧合，配合有效呼吸道管理，是提高儿童ARDS抢救成功率的重要环节。

Abstract

Objective: To explore the application effect of optimizing the prone ventilation process and nursing in children with acute respiratory distress syndrome (ARDS).
Methods: Children with moderate and severe ARDS admitted in August 2017 ~ were retrospectively collected, and clinical data on the optimal prone ventilation and nursing process were implemented. Data obtained were subjected to statistical analysis.
Results: 10 children with ARDS optimized nursing and prone ventilation through sufficient sedation, with an improved discharge rate of 100%.After a paired t test, 10 children with ARDS had optimized nursing and prone ventilation procedures (P<0.05).
Conclusion  : Optimizing prone ventilation and nursing can reduce the operating complications, effectively improve oxygenation and effective respiratory management is an important link to improve the success rate of ARDS management.