早产儿经鼻持续气道正压通气鼻部系带固定方法的改良
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女,本科,副主任护师,护理部副主任

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Improvement of nasal frenulum fixation in premature infants with nasal continuous positive airway pressure ventilation
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    目的 降低早产儿经鼻持续气道正压通气鼻部系带固定所致的相关并发症。 方法 将符合纳入标准的136例早产儿随机分为两组,观察组67例采取改良系带固定法,对照组69例采用贴膜无张力包裹棉球及系带固定法,比较两组早产儿眼部肿胀、朝天鼻、鼻部皮肤损伤等发生情况、持续正压通气时间及住院时间。 结果 观察组眼部肿胀、朝天鼻、鼻部皮肤损伤发生率显著低于对照组,持续正压通气时间、住院时间显著短于对照组(均P<0.05)。 结论 改良鼻部系带固定法可以有效地固定鼻塞的位置,保证有效的通气时间,降低相关并发症发生率,缩短早产儿住院时间。

    Abstract:

    Objective To reduce the complications caused by nasal frenulum fixation in premature infants with nasal continuous positive airway pressure ventilation. Methods A total of 136 premature infants who met the inclusion criteria were randomly divided into two groups.The intervention group (67 cases) received the improved lacing method, and the control group (69 cases) received the film tense-free wrapping cotton ball and lacing method.The occurrence of eye swelling, upturned nose, nose skin damage, duration of continuous positive airway pressure ventilation and length of hospital stay were compared between the two groups. Results The incidence of eye swelling, upturned nose and nasal skin damage in the intervention group was significantly lower than that in the control group, and the duration of continuous positive airway pressure ventilation and the length of hospital stay were significantly shorter than those in the control group (all P<0.05). Conclusion The modified nasal frenulum fixation method can effectively fix the location of nasal congestion, ensure effective ventilation time, reduce the incidence of related complications, and shorten the length of hospital stay for premature infants.

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张月葵,郭舒文,郑碧月,戴冬凰,张媚.早产儿经鼻持续气道正压通气鼻部系带固定方法的改良[J].护理学杂志,2023,28(17):74-76

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  • 收稿日期:2023-04-09
  • 最后修改日期:2023-06-02
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  • 在线发布日期: 2024-01-15