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目的探讨多点固定鼻塞法在PICU婴幼儿经鼻持续气道正压通气中的应用效果。方法将80例经鼻持续气道正压通气患儿分为观察组和对照组各40例,观察组使用“人”形蚕丝胶布和3 M自黏弹性绷带,对NCPAP的鼻塞和呼吸管道多点固定,对照组使用呼吸回路厂家配套的固定帽固定。比较观察组和对照组患儿使用鼻部皮肤损伤发生率和损伤情况,记录24 h鼻塞脱出次数、管道连接处脱落次数及24 h内所导致的血氧饱和度降低发生次数。结果观察组患儿鼻部皮肤损伤发生率为10.00%,对照组患儿鼻部皮肤损伤发生率为37.50%,两组比较差异有统计学意义(P<0.05)。观察组患儿每24 h鼻塞脱出次数、每24 h管道连接处脱落次数以及脱落所导致的血氧饱和度降低发生次数与对照组相比,差异有统计学意义(P<0.01)。结论使用多点固定鼻塞法能显著减少NCPAP鼻塞的滑脱和移位,降低鼻部皮肤损伤发生率,降低每24 h内鼻塞脱出次数、管道连接处脱落次数及脱落所导致的血氧饱和度降低发生次数,方法简便且经济易行,值得临床推广。
Objective To investigate the effect of multipoint fixed nasal plug method in nasal continuous positive airway pressure ventilation in PICU infants. Methods Eighty children with nasal continuous positive airway pressure were divided into the observation group and the control group, 40 cases in each group. The observation group was treated with nasal congestion and respiration Pipeline more fixed, the control group fixed breathing cap manufacturers supporting the fixed cap. The incidences and injuries of nasal skin lesions were compared between the observation group and the control group. The number of nasal pruritations, the number of extubation at the junction and the decrease of oxygen saturation within 24 h were recorded. Results The incidence of nasal skin injury in the observation group was 10.00%, while the incidence of nasal skin injury in the control group was 37.50%. There was significant difference between the two groups (P <0.05). Compared with the control group, the difference was statistically significant (P <0.01). The number of nasal prongs per 24 h in the observation group, the number of plugs per 24 h, and the decrease of oxygen saturation caused by exfoliation were statistically significant (P <0.01). Conclusion The multi-point fixed nasal plug method can significantly reduce the NPSAP nasal plug slippage and displacement, reduce the incidence of nasal skin injury, reduce the number of nasal plug prolapse every 24 h, plumbing junction shedding times and shedding caused by decreased oxygen saturation Occurrences, the method is simple and economical, it is worth clinical promotion.