ICU机械通气肥胖患者撤机护理研究进展

doi:10.3761/j.issn.2096-7446.2025.05.023

摘要/Abstract

摘要：

ICU肥胖患者因特殊病理生理结构，导致机械通气撤机困难、撤机后二次插管风险高，给气道管理带来较大挑战。专业的临床判断、合适的撤机时机、优化的撤机策略是肥胖患者能否撤机的关键。目前，国内关于ICU机械通气肥胖患者撤机护理研究较少。该文对ICU机械通气肥胖患者撤机的影响因素、撤机前的护理评估与准备、撤机时的护理策略和撤机后的综合护理进行综述，旨在为ICU肥胖患者撤机护理提供参考。

关键词: 肥胖, 通气机撤除法, 危重病护理, 文献综述（主题）

Abstract:

Due to the special pathophysiological structure of obese patients in ICU，difficulties in mechanical ventilation weaning and an increased risk of secondary intubation after weaning often occur，presenting considerable challenges to airway management. Professional clinical judgment，appropriate timing for weaning，and optimized weaning strategies are key to successful weaning of obese patients. Currently，there is limited research on weaning care for obese patients with mechanical ventilation in ICU in China. This article aims to review the factors affecting weaning in obese patients with mechanical ventilation in ICU，pre-weaning nursing assessment and preparation，weaning nursing strategies，and comprehensive post-weaning care，and provide a reference for weaning care of obese patients in ICU.

Key words: Obesity, Ventilator Weaning, Critical Care Nursing, Review Literature as Topic

周飞飞, 高春华, 褚君卿, 林燕, 汪晓虹, 乔文博, 任雅钰. ICU机械通气肥胖患者撤机护理研究进展[J]. 中华急危重症护理杂志, 2025, 6(5): 636-640.

ZHOU Feifei, GAO Chunhua, CHU Junqing, LIN Yan, WANG Xiaohong, QIAO Wenbo, REN Yayu. A review on mechanical ventilation withdrawal nursing for obese patients in ICU[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 636-640.

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