俯卧位通气对早期重症肺炎ards患者氧合的影响

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1、授予单位代码10089学号或申请号20153171中国图书分类号R56HebeiMedicalUniversity硕士学位论文专业学位俯卧位通气对早期重症肺炎ARDS患者氧合的影响研究生：苏雅囡导师：阎锡新教授专业：内科学二级学院：河北医科大学第二医院2018年3月2018年3月目录中文摘要··········································································································1英文摘要········································

2、··································································2英文缩写··········································································································4研究论文俯卧位通气对早期重症肺炎ARDS患者氧合的影响前言··························································································

3、················6资料与方法······························································································6结果··········································································································8附图·····································································

4、·····································10附表··········································································································13讨论··········································································································14结论····································

5、······································································16参考文献··································································································16综述急性呼吸窘迫综合征研究进展····························································19致谢··········································

6、········································································36个人简历··········································································································38中文摘要俯卧位通气对早期重症肺炎ARDS患者氧合的影响摘要目的：研究俯卧位通气对早期重症肺炎ARDS患者氧合的影响。方法：选取2016年11月至2018年2月我院呼吸一科RICU收治的20例重症肺炎ARDS患者为研究对象，

7、入院后立即对其实施俯卧位通气，观察并记录俯卧位前后吸入氧浓度、动脉血气分析指标、心率、平均动脉压及胸部影像学变化，同意行高级血流动力学监测者记录心指数、血管外肺水指数，并随访28天临床结局。结果：俯卧位1h、俯卧位2h组氧合指数(PaO2/FiO2)与俯卧位前比较差异无统计学意义，但俯卧位4h、俯卧位8h、仰卧位1h组患者PaO2/FiO2明显升高，与俯卧位前组相比差异有统计学意义（P<0.05）；而俯卧位前后各个时段的血酸碱度（p