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首页> 外文期刊>Journal of Residuals Science & Technology >30° May Be More Appropriate than 45° for the Critically Ill Patients Receiving Mechanical Ventilation and Enteral Nutrition
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30° May Be More Appropriate than 45° for the Critically Ill Patients Receiving Mechanical Ventilation and Enteral Nutrition

机译：对于接受机械通气和肠内营养的重症患者，30°比45°更合适

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摘要

Maintaining the semi-recumbent position is very important for critically ills to prevent the development of ventilator associated pneumonia (VAP). However, considering the relationship between head of bed (HOB) and intra- abdominal pressure (IAP), an acceptable elevated head of bed (30°) but not 45° may be more appropriate for critically ills receiving mechanical ventilation and enteral nutrition. In the present study, a prospective, randomized clinical study was performed to validate this hypothesis. The results showed that comparing with the HOB of 30°, 45° didn’t show its priority in inhibiting the development of VAP, while patients in this group had a tendency to develop new-onset organ failure more easily, accompanied with higher IAPs measurement and lower mean arterial pressure (MAP), abdominal perfusion pressure (APP) and filtration gradient (FG). Accordingly, the acceptable semi-recumbent position of 30° should be recommended for critically ill patients receiving mechanical ventilation and enteral nutrition.
机译：对于危重病患者，保持半卧位对于预防呼吸机相关性肺炎（VAP）的发生非常重要。但是，考虑到床头（HOB）与腹腔内压力（IAP）之间的关系，可接受的床头升高（30°）但不是45°可能更适合接受机械通气和肠内营养的重症患者。在本研究中，进行了一项前瞻性，随机临床研究以验证这一假设。结果表明，与30°HOB相比，45°并没有显示其优先抑制VAP的发展，而该组患者倾向于更容易发展为新发性器官衰竭，并伴有更高的IAP测量值以及较低的平均动脉压（MAP），腹腔灌注压（APP）和过滤梯度（FG）。因此，对于接受机械通气和肠内营养治疗的重症患者，应建议将其置于30°的半卧位。

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