Department of Skills and Simulation, Faculty of Health, Birmingham City University, Edgbaston, Birmingham B15 3TN, UK.
Nurs Crit Care. 2012 Jan-Feb;17(1):28-35. doi: 10.1111/j.1478-5153.2011.00458.x. Epub 2011 Jul 20.
This article reviews the current evidence, benefits and drawbacks for the use of continuous lateral replacement therapy in the treatment and prevention of nosocomial infections in the ventilated patient.
The acquisition of nosocomial infections and the development of pressure sores continue to be major issues in the care of the critically ill, ventilated patient. The use of continuous lateral rotation therapy (CLRT) as an adjunct in the prevention and treatment of pneumonia has increased in popularity in recent years. A number of institutions routinely advocate the use of CLRT in critically ill patients.
While there is some data to suggest that CLRT may have an impact on prevention of and treatment for nosocomial infections acquired by ventilated patients, there still remains insufficient evidence to its inclusion as a fully validated treatment. Clearly, there is a requirement for more robust, in-depth research into the efficacy of this proposed treatment.
本文综述了连续侧卧位更换疗法在预防和治疗呼吸机相关性感染中的应用的现有证据、益处和弊端。
医院获得性感染和压疮的发生仍然是重症监护、呼吸机通气患者护理中的主要问题。近年来，连续侧卧位更换疗法（CLRT）作为肺炎预防和治疗的辅助手段越来越受到关注。一些医疗机构常规提倡将 CLRT 用于重症患者。
虽然有一些数据表明 CLRT 可能对预防和治疗呼吸机相关性感染有一定影响，但仍缺乏充分的证据支持其作为一种完全有效的治疗方法。显然，需要对这种治疗方法的疗效进行更强大、深入的研究。
