水胶体敷料预防新生儿无创呼吸机治疗鼻部并发症的效果观察

摘要

目的探讨水胶体敷料敷贴预防新生儿无创呼吸（nasal continuous positive airway pressure，N-CPAP）治疗鼻部并发症的效果。方法将本院500例需要使用 N-CPAP 的患儿随机分为观察组和对照组，每组各250例。对照组患儿在实施N-CPAP 治疗期间，采用鼻塞固定法，观察组患儿在实施 N-CPAP 治疗期间，采用水胶体敷料敷贴法。比较两组患儿 N-CPAP治疗期间鼻部皮肤并发症及患儿家属满意度。结果N-CPAP 治疗期间，两组患儿鼻部皮肤并发症及患儿家属满意度比较，均 P ＜0�05，差异具有统计学意义，观察组明显优于对照组。结论水胶体敷料在 N-CPAP 治疗中应用，可减少患儿鼻部并发症。%　　Objective To explore the effect of hydrocolloid dressing on nasal continuous positive airway pressure(N-CPAP)�Methods Five hundred newborns in our hospital from January 2011 to December 2012 undergoing N-CPAP were randomly divided equally into the control group and the observation group� In the former,rhinobyon was used but it was loosen every 1 to 2 hours so that the local skin was kneadvation� In the observetion group,the hand-cut hydrocolloid dressing was used to prevent complications� The two groups were compared in terms of the incidence of skin complications and the satisfaction degree from their families� Result During N-CPAP,the observation group was significantly better in the incidence of skin complications and the satisfaction degree than the control group(all P < 0�05)� Conclusion Hydrocolloid dressing during N-CPAP has better efficacy in reducing the complication of the perirhinal skin�