基于ABC-X理论的俯卧位通气体位干预在重度ARDS患者中的应用效果

doi:10.3969/j.issn.1671-7171.2026.04.016

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摘要 【目的】探讨基于ABC-X理论的俯卧位通气体位干预在重度急性呼吸窘迫综合征(ARDS)患者中的应用效果。【方法】92例ARDS患者,随机分为对照组和观察组,每组46例。对照组给予常规干预,观察组则实施基于ABC-X理论的俯卧位通气体位干预。比较两组患者干预前后的氧合指标[经皮动脉血氧饱和度(SpO₂)、动脉血氧分压(PaO₂)、动脉血二氧化碳分压(PaCO₂)]、肺功能指标[第1秒用力呼气容积(FEV₁)、用力肺活量(FVC)、呼气峰流速(PEF)]、生活质量[健康调查量表36(SF-36)评分]和不良事件发生率。【结果】干预后,观察组SpO₂、PaO₂、FEV₁、FVC、PEF及SF-36评分高于对照组(均P<0.05),PaCO₂、不良事件发生率低于对照组(均P<0.05)。【结论】基于ABC-X理论的俯卧位通气体位干预能显著改善重度ARDS患者的氧合指标、肺功能和生活质量,同时降低不良事件发生率,值得临床推广应用。

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	徐蕊娜
	孟佳
	张明明

关键词 ：呼吸窘迫综合征, 俯卧位, 肺通气, 护理

Abstract：【Objective】 To investigate the effects of prone ventilation positioning intervention based on the ABC-X theory in patients with severe acute respiratory distress syndrome (ARDS). 【Methods】 A total of 92 ARDS patients were randomly divided into a control group and an observation group, with 46 cases in each group. The control group received routine interventions, while the observation group underwent a prone ventilation positioning intervention based on the ABC-X theory. Oxygenation indicators[percutaneous pulse oxygen saturation (SpO₂), arterial oxygen partial pressure (PaO₂), arterial carbon dioxide partial pressure (PaCO₂)], pulmonary function indicators [forced expiratory volume in one second (FEV₁), forced vital capacity (FVC), peak expiratory flow (PEF)], quality of life [36-Item Short Form Health Survey (SF-36) score], and incidence of adverse events before and after intervention were compared between the two groups. 【Results】 After the intervention, SpO₂, PaO₂, FEV₁, FVC, PEF, and SF-36 scores in the observation group were significantly higher than those in the control group (all P<0.05), while PaCO₂ level and the incidence of adverse events in the observation group were significantly lower than those in the control group (all P<0.05). 【Conclusion】 The prone ventilation positioning intervention based on the ABC-X theory can significantly improve oxygenation parameters, pulmonary function, and quality of life in patients with severe ARDS, while reducing the occurrence of adverse events. It is an effective intervention strategy.

Key words： Respiratory Distress Syndrome Prone Position Pulmonary Ventilation Nursing Care

收稿日期: 2024-12-19

中图分类号:

R563.8

引用本文:

徐蕊娜, 孟佳, 张明明. 基于ABC-X理论的俯卧位通气体位干预在重度ARDS患者中的应用效果[J]. 医学临床研究, 2026, 43(4): 584-587.
XU Ruina, MENG Jia, ZHANG Mingming. Application of Prone Ventilation Positioning Intervention Based on the ABC-X Theory in Patients with Severe ARDS. JOURNAL OF CLINICAL RESEARCH, 2026, 43(4): 584-587.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2026.04.016 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2026/V43/I4/584

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