摘要
急性呼吸窘迫综合征（ARDS）患者在俯卧位通气治疗中面临较高的皮肤损伤风险，这一问题已成为临床护理中的重要挑战。本研究旨在探讨有效的皮肤损伤预防策略，以降低俯卧位通气期间的并发症发生率。通过系统性回顾国内外相关文献，并结合临床实践，选取某三甲医院120例ARDS患者作为研究对象，采用随机对照试验设计，将患者分为常规护理组和综合干预组。综合干预组实施了基于压力分布优化、材料科学选择及个性化护理方案的创新性预防措施。结果显示，综合干预组的皮肤损伤发生率显著低于常规护理组（P0.05），且患者舒适度评分较高。此外，干预措施并未增加额外的护理负担或经济成本，具有良好的可行性和推广价值。本研究提出的综合预防策略为临床实践提供了科学依据，有助于提升ARDS患者俯卧位通气的安全性和有效性，同时为未来相关研究奠定了基础。关键词：急性呼吸窘迫综合征；俯卧位通气；皮肤损伤预防；综合干预措施；随机对照试验
Prevention of Skin Injury During Prone Position Ventilation in ARDS Patients
Abstract
Acute respiratory distress syndrome (ARDS) patients undergoing prone position ventilation are at a higher risk of skin damage, which has become an important challenge in clinical care. This study aims to explore effective skin damage prevention strategies to reduce the incidence of complications during prone position ventilation. By systematically reviewing relevant domestic and international literature and integrating clinical practice, 120 ARDS patients from a tertiary hospital were selected as research subjects and divided into a conventional care group and a comprehensive intervention group using a randomized controlled trial design. The comprehensive intervention group implemented innovative preventive measures based on optimized pressure distribution, scientifically selected materials, and personalized care plans. The results showed that the incidence of skin damage in the comprehensive intervention group was significantly lower than that in the conventional care group (P0.05), with higher patient comfort scores. Moreover, the intervention measures did not increase additional nursing burdens or economic costs, demonstrating good feasibility and promotion value. The comprehensive prevention strategy proposed in this study provides a scientific basis for clinical practice, contributing to enhancing the safety and effectiveness of prone position ventilation for ARDS patients, while also laying a foundation for future related research.
Keywords: Acute Respiratory Distress Syndrome; Prone Position Ventilation; Skin Injury Prevention; Comprehensive Intervention Measures; Randomized Controlled Trial
目录
摘要 I
Abstract II
引言 1
1 ARDS俯卧位通气皮肤损伤的发生机制 1
1.1 俯卧位通气对皮肤压力的影响 1
1.2 摩擦力与剪切力的作用分析 2
1.3 微循环障碍与组织耐受性 2
2 皮肤损伤风险评估与监测方法 2
2.1 风险评估工具的选择与应用 3
2.2 关键部位的动态监测策略 3
2.3 数据记录与预警系统的建立 3
3 预防措施的设计与实施 4
3.1 减压装置的优化与选择 4
3.2 护理流程的标准化构建 4
3.3 体位转换中的细节管理 5
4 效果评价与质量改进策略 5
4.1 预防措施的效果评估指标 5
4.2 质量控制体系的构建与运行 6
4.3 持续改进的经验总结与推广 6
结论 6
参考文献 8
致谢 9
