Objective: To analyze the clinical value of prone position ventilation(PPV) for acute respiratory distress syndrome(ARDS) and interstitial lung disease(ILD) patients.Methods: Seventy-four patients with ARDS collected in our hospital from August 2014 to August 2016 were divided into observation group 31 cases(patients with ILD) and control group 43 cases (patients without ILD). The difference was compared between the two groups before and after treatment, such as the difference of respiratory dynamics indexes and oxygen index and the 3 month K-M survival curves.Results: There was no significant difference between the two groups before treatment (P>0.05). The changes of the relevant indicators in each group before and after treatmentm were compared, the oxygen index were significantly improved (P<0.05).After the treatment of PPV, the observation group of PEEP increased significantly (9.54±0.85 vs 10.63±0.86,P<0.05);The control group underwent PPV, the respiratory frequency decreased significantly(23.17±3.91 vs 21.89±2.53,P<0.05). After treatment, the observation group was better than the control group in Dynamic respiratory compliance(18.78±3.92 vs 17.83±3.87, P<0.05).According to the K-M curve, the observation group had significant lower survival rate than the control group in the 3 month, the difference was statistically significant (χ2=10.342,P<0.05).Conclusion: PPV for ARDS patients with ILD has obvious short-term effect, it can ameliorate the patients' compliance significantly. |
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