Mehta Jigar Nayankumar, Parmar Lata D
Department of Physiotherapy, K M Patel Institute of Physiotherapy, Shree Krishna Hospital Karamsad, Vadodara, Gujarat, India.
Department of Physiotherapy, Sumandeep Vidyapeeth, Vadodara, Gujarat, India.
J Family Med Prim Care. 2017 Oct-Dec;6(4):853-858. doi: 10.4103/jfmpc.jfmpc_27_17.
Following head injury, cardiopulmonary functions are impaired and this disturbs the oxygenation transport pathway. Expanding cardiopulmonary physical therapy to encompass the oxygen transport system as a whole has implication for treatment as well as assessment and treatment outcome. Therefore, the aim of the study is to assess the oxygenation level in head injury patients with relation to body positioning in the intensive care unit (ICU).
Thirty consecutive patients with head injury with hemodynamically stable were included from the surgical ICU, ages ranging from 15 to 50 years. Noninvasive vital parameters (oxygen saturation [SpO], pulse rate [PR], respiratory rate [RR], and blood pressure [BP]) were observed and recorded in different body positions at regular intervals of 5 min for 15 min in each position.
There was increment in SpO value in all positions from 0 min to end of 15 min in supine (98.63 ± 0.36-98.73 ± 0.30), right-side lying (98.77 ± 0.30-98.93 ± 0.20), left-side lying (98.73 ± 0.29-99.03 ± 0.24), and recline sitting (30°-70°) (99.03 ± 0.24-99.50 ± 0.22). However, there was statistically significant increment in recline sitting (30°-70°) compared to other positions ( = 0.036) while other parameters (PR, RR, and BP) were getting stabilized at lower values at end of 15 min in every positions tested.
We conclude that upright position bring about significant increase in arterial SpO compared to any other positions. Other vital parameters were seen to stabilize at lower values at the end of 15 min in every position tested.
头部受伤后，心肺功能受损，这会干扰氧运输途径。将心肺物理治疗扩展至涵盖整个氧运输系统对治疗以及评估和治疗结果都有影响。因此，本研究的目的是评估重症监护病房（ICU）中头部受伤患者的氧合水平与体位的关系。
从外科ICU连续纳入30例血流动力学稳定的头部受伤患者，年龄在15至50岁之间。每隔5分钟在不同体位观察并记录无创生命参数（血氧饱和度[SpO]、脉搏率[PR]、呼吸频率[RR]和血压[BP]），每个体位记录15分钟。
仰卧位（98.63±0.36 - 98.73±0.30）、右侧卧位（98.77±0.30 - 98.93±0.20）、左侧卧位（98.73±0.29 - 99.03±0.24）和斜靠坐位（30° - �0°）（99.03±0.24 - 99.50±0.22）从0分钟到1分钟结束时SpO值均有增加。然而，与其他体位相比，斜靠坐位（30° - �0°）的SpO值有统计学意义的增加（P = 0.036），而其他参数（PR、RR和BP）在每个测试体位15分钟结束时稳定在较低值。
我们得出结论，与任何其他体位相比，直立位可使动脉SpO显著增加。在每个测试体位15分钟结束时，其他生命参数稳定在较低值。
