Nursing application of early prone position ventilation in patients with hypoxemia after aortic dissection surgery
早期俯卧位通气在主动脉夹层术后低氧血症患者中的护理应用

摘要

目的 探究对主动脉夹层（AD）术后应用早期俯卧位通气对于改善低氧血症的实际价值；方法 选取2022年3月-2024年3月在我院接受手术治疗的40例AD患者，患者在术后均出现不同程度的低氧血症。以随机数字法分为观察组与对照组，各20例。对照组采取常规仰卧位机械通气，观察组采取早期俯卧位机械通气，比较两组的氧合指标等；结果 观察组的各项氧合指标均显优（P<0.05）。两组在血流动力学指标上无显著差异（P＞0.05），但观察组的机械通气时间及ICU入住时间均显优（P<0.05）；结论 对AD术后患者应用早期俯卧位机械通气的护理干预，能够帮助改善患者的氧合情况，减少机械通气使用时间，应用效果良好。

Abstract

Objective To explore the practical value of early prone ventilation in improving hypoxemia after aortic dissection (AD) surgery;
Methods Select 40 AD patients who underwent surgical treatment in our hospital from March 2022 to March 2024, all of whom developed varying degrees of hypoxemia after surgery. Divided into an observation group and a control group using random number method, with 20 cases in each group. The control group received routine supine mechanical ventilation, while the observation group received early prone mechanical ventilation. The oxygenation indicators of the two groups were compared;
Results All oxygenation indicators in the observation group were significantly better (P<0.05). There was no significant difference in hemodynamic indicators between the two groups (P>0.05), but the mechanical ventilation time and ICU stay time of the observation group were significantly better (P<0.05);
Conclusion   Early nursing intervention with prone mechanical ventilation for postoperative AD patients can help improve their oxygenation status, reduce the duration of mechanical ventilation, and achieve good results.