Effect of pulmonary recruitment in prone position on oxygenation index，intrapulmonary shunt and hemodynamics in patients with severe pulmonary infection and hypoxemia
ZOU Xin-hui LUO Wei-wen ZHONG Ying-yu
ICU,the People′s Hospital of Meizhou City,Guangdong Province,Meizhou 514031,China
Abstract ObjectiveTo explore the effect of prone position of lung recruitment on oxygenation index in patients with hypoxemia in patients with severe pulmonary infection,intrapulmonary shunt,hemodynamics.Methods88 cases of hypoxemia in patients with severe pulmonary infection from March 2015 to March 2017 in our hospital,according to patients with atelectasis were divided into prone group(n=44,pulmonary recruitment in prone position)and supine group(n=44,supine lung recruitment),the status of the therapeutic effects and safety of statistics of the two groups were compared.ResultsThe prone group after treatment in patients with SpO2,PaO2/FiO2,CI,SVI,CVP,GEF respectively (102.9±2.7)%and (398.2±43.8),(3.6±0.4)L/min,(32.7±3.4),(3.9±1.1)cmH2O,(26.8±2.5)%,significantly higher than the supine group[(95.2±2.6)%and (328.3±42.7),(3.3±0.5)L/min,(30.5±3.5),(3.2±0.7)cmH2O,(24.1±2.7)],the difference was statistically significant(P＜0.05);the prone group after treatment in patients with Qs/Qt and SVRI respectively (9.5±0.8)%and(10.8±1.3)%,significantly lower than the supine group [(11.2±1.3)%and (12.2±1.5)%],the difference was statistically significant(P＜0.05).The incidence of side effects in the prone group after treatment was 6.8%,compared with that in the supine group(9.1%),and there was no significant difference(P＞0.05).ConclusionSevere pulmonary infection prone atelectasis patients can improve the oxygenation index,the implementation of hypoxemia in patients with intrapulmonary shunt and reduce the effects on hemodynamics.
ZOU Xin-hui,LUO Wei-wen,ZHONG Ying-yu. Effect of pulmonary recruitment in prone position on oxygenation index，intrapulmonary shunt and hemodynamics in patients with severe pulmonary infection and hypoxemia[J]. 中国当代医药, 2017, 24(29): 21-23.
