作　　者： (李咏）; (黄宏）;

机构地区： 华中科技大学同济医学院附属同济医院,武汉430030

出　　处： 《内科急危重症杂志》 2017年第4期330-332,共3页

摘　　要： 目的:探讨ICU患者半卧位和平卧位对肺功能的影响。方法:收集42例重症住院患者,问卷调查患者在半卧位和平卧位的舒适度。床边测定用力肺活量(FVC)、第一秒用力呼气容积(FEV1)和第一秒用力呼气容积占用力肺活量的比率(FEV1%)。同时,观察不同体位手指氧饱和度(SpO_2%)。结果:83.3%的患者感觉半卧位好于平卧位。42例患者半卧位的FVC、FEV1较其平卧位明显改善[FVC:(2.90±1.00)vs(2.22±0.85),P=0.0017;FEV1:(1.95±0.89)vs(1.38±0.70),P=0.0035],42例患者半卧位较平卧位SpO_2明显改善[(95.74%±1.64%)vs(93.14%±3.34%),P=0.0015)]。结论:ICU患者半卧位呼吸舒适度好于平卧位,不同体位肺功能存在明显差异,患者SpO_2%亦能得到明显改善。 Objective： To explore the influence of lying and semi-seated position on pulmonary function of critical care patients. Method： Forty-two cases of respiratory and critical diseases were collected in Tongji Hospital. The questionnaire survey was performed for comfortable position in a lying position or semi-seated position. The ratio of forced vital capacity（ FVC）,forced expiratory volume（ FEV1） and forced expiratory volume in the first second and forced vital capacity（ FEV1%） were measured by the bedside. Finger oxygen saturation（ SpO_2%） was observed in different positions. Results：In semi-seated position,83. 3% patients felt better than in lying position. FVC and FEV1 in semi-seated position were increased significantly（ FVC： 2. 90 ± 1. 00 vs 2. 22 ± 0. 85,P = 0. 0017; FEV1： 1. 95 ± 0. 89 vs 1. 38 ± 0. 70,P = 0. 0035）compared to lying position. Patients with semi-seated position showed higher SpO_2% than lying position（ 95. 74% ± 1. 64%vs 93. 14% ± 3. 34%,P = 0. 0015）. Conclusion： There are obvious differences in pulmonary function of critically ill patients between semi-seated and lying position. Most of patients in semi-seated position feel better than in lying position. SpO_2% of critically ill patients was improved significantly in semi-seated position.

关 键 词： 肺功能 体位 住院时间