中华危重病急救医学2023年4月第35卷第4期Chin Crit Care Med,Apil2023,Vl.35,No.4·337·专家共识·非气管插管患者清醒俯卧位实施策略中国专家共识(2023执笔人：米元元！蔡喆燚2刘静3田飞4杨丽萍5包磊6侯善兵？顾苏8厉丽9周雪梨9徐芸0张淑梅Ⅱ付小霞2李晓迪B李传圣14孙亮5张小红6漆红'袁世荧！朱丽群9黄海燕！尚游!华中科技大学同济医学院附属协和医院重症医学科，湖北武汉430022：2湖南中医药大学第一附属医院重症医学科，长沙410007：3华中科技大学同济医学院附属协和医院骨科，湖北武汉430022:4三峡大学第一临床医学院重症医学科，湖北宜昌433000：5江苏大学附属医院急诊科，江苏镇江212001；6江苏大学附属医院手术室，江苏镇江212001：7中国科学技术大学附属第一医院护理部，安徽合肥230000：3盐城市第一人民医院急珍科，江苏盐城224000；”江苏大学附属医院护理部，江苏镇江212001：0安徽医科大学第一附属医院日间病房，合肥230022：Ⅱ河南科技大学第一附属医院重症医学科，河南洛阳471000：2洛阳市第三人民医院感染防控科，河南洛阳471002：3河南科技大学第一附属医院呼吸与危重症医学科，河南洛阳471000：1“烟台毓璜顶医院重症医学科，山东烟台264000：5江汉大学附属医院重症医学科，湖北武汉430015;16襄阳市中心医院护理部，湖北襄阳441021通信作者：尚游，Email:you_shanghust(@163.com;朱丽群，Email:2495409460@gq.com【摘要】清醒俯卧位在治疗非气管插管患者低氧血症、改善呼吸窘迫症状中发挥着重要的作用，因其操作简单、安全、经济而被临床广泛应用。为了使临床医务人员能够科学、规范地为非气管插管清醒住院患者实施俯卧位，本共识制订委员会以循证医学及德尔菲方法学为指导，围绕清醒俯卧位的适应证与禁忌证、评估、实施、监测与安全管理、终止时机、并发症预防和健康教育7个主题进行文献检索、文献质量评价、证据综合，并经过2轮专家函询，制订了《非气管插管患者清醒俯卧位实施策略中国专家共识(2023)》，为临床医务人员提供借鉴。【关键词】医院；非气管插管；清醒；俯卧位；呼吸治疗；○专家共识实践指南注册：国际实践指南注册与透明化平台，PREPARE-2023CN038D0I:10.3760cma.j.cn121430-20230427-00324Expert consensus on implementation strategy of awake prone positioning for non-intubated patients in China(2023)Mi Yuanyuan,Cai Zheyi,Liu Jing,Tian Fei:Yang Liping,Bao Lei,Hou Shanbing,Gu Su,Li Li,Zhou Xueli,XuYm",Zhang Shumei”,Fu Xinoxia片，Li Xiaodi,Li Chuansheng'“,Sun liang5,Zhang Xiaohong',Qi HongYuan Shiying,Zhu Liqun',Huang Haiyan',Shang You'Department of Critical Care Medicine,Union Hospital,Tongji Medical College,Huazhong University of Science andTechnology,Wuhan 430022,Hubei,China;Department of Critical Care Medicine,The First Hospital of HunanUniversity of Chinese Medicine,Changsha 410007,Hunan,China;Department of Orthopedics,Union Hospital,TongjiMedical College,Huazhong University of Science and Technology,Wuhan 430022,Hubei,China;Department of CriticalCare Medicine,The First Clinical Medicine College of China Three Gorges University,Yichang 433000,Hubei,China;Department of Emergency,Affiliated Hospital of Jiangsu University,Zhenjiang 212001,Jiangsu,China:Departmentof Anesthesia and Operation Room,Affiliated Hospital of Jiangsu University,Zhenjiang 212001,Jiangsu,China;Department of Nursing,The First Affiliated Hospital of University of Science and Technology of China,Hefei 230000.Anhui,China;"Department of Emergency,Yancheng No.I People's Hospital,Yancheng 224000,Jiangsu,China;Department of Nursing.Affiliated Hospital of Jiangsu Unirersity,Zhenjang 212001.Jiangsu,China:Departmentof Day Ward,First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui,China;"Department ofCritical Care Medicine,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000.Henan,China;Department of Infection Prevention and Control,The Third People's Hospital of Luoyang,Luoyang471002,Henan,China;Department of Respiratory and Critical Care Medicine,The First Affiliated Hospital of HenanUnirersity of Science and Technology,Luoyang 471000,Henan,China;"Department of Intensive Care Medicine,Yanta
