Study on the application of prone position ventilation in mechanical ventilation of neonates and its influence on withdrawal
俯卧位通气在新生儿机械通气中的应用及对撤机影响的研究

摘要

目的 分析俯卧位通气在新生儿机械通气中的应用及对撤机影响的研究。方法 选取2023年6月至2024年12月在我院接受机械通气治疗的新生儿80例，随机分为两组，对照组采用仰卧位通气，观察组采用俯卧位通气。比较两组氧合指标（氧分压、氧合指数）、通气参数（气道峰压、平均气道压）、撤机时间、住院时间以及并发症发生情况。结果 观察组的氧分压、氧合指数均高于对照组，气道峰压、平均气道压、撤机时间、住院时间及并发症发生率均低于对照组（p＜0.05）。结论 在新生儿机械通气中应用俯卧位通气，可有效缩短撤机时间和住院时间，降低并发症发生率，值得临床推广应用。

Abstract

Objective To analyze the application of prone ventilation in neonatal mechanical ventilation and its effect on withdrawal.
Methods 80 neonates receiving mechanical ventilation in our hospital from June 2023 to December 2024 were selected and randomly divided into two groups. The control group was ventilated in the supine position and the observation group was ventilated in the prone position. The two groups of oxygenation index (oxygen partial pressure, oxygenation index), ventilation parameters (airway peak pressure, mean airway pressure), withdrawal time, hospital stay, and the occurrence of complications were compared.
Results The oxygen partial pressure and oxygenation index of the observation group were higher than that of the control group, and the airway peak pressure, mean airway pressure, withdrawal time, hospital stay and complication rate were lower than that of the control group (p <0.05).
Conclusion   The application of prone ventilation in neonatal mechanical ventilation can effectively shorten the withdrawal time and hospital stay, and reduce the incidence of complications, which is worthy of clinical application.