水胶体敷料在新生儿无创呼吸机治疗中的应用效果分析

Application Effect Analysis of Hydrocolloid Dressing in Treatment of Non-Invasive Ventilator in Neonates

目的:探讨新生儿无创呼吸机治疗选用水胶体敷料的效果。方法:选取2021年10月—2022年10月于东南大学附属中大医院开展无创呼吸机治疗的60例新生儿作为研究对象,根据随机数字表法分为观察组与对照组,各30例。对照组给予鼻塞固定法干预,观察组在对照组基础上选用水胶体敷料固定。比较两组鼻部并发症发生情况、住院情况、血气指标及患儿家属满意度。结果:观察组鼻部并发症发生率低于对照组,差异有统计学意义(P=0.044)。观察组无创通气时间及住院时间短于对照组,差异有统计学意义(P<0.05)。干预前,两组动脉血氧饱和度(SaO_(2))、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、酸碱度(pH)水平比较,差异无统计学意义(P>0.05);干预后,两组SaO_(2)、PaO_(2)、pH水平均高于干预前,且观察组高于对照组,两组PaCO_(2)水平低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组患儿家属满意度高于对照组,差异有统计学意义(P=0.010)。结论:水胶体敷料在新生儿无创呼吸机治疗中的应用效果显著,可降低患儿鼻部并发症发生风险,改善血气指标,缩短患儿治疗时间及住院时间,提高患儿家属满意度。

Objective:To investigate the effect of selecting hydrocolloid dressing during non-invasive ventilator treatment in neonates.Methods:From October 2021 to October 2022,60 newborns who underwent non-invasive ventilator treatment in Zhongda Hospital,Southeast University were selected as the study subjects.They were divided into observation group and control group according to random number table method,with 30 cases in each group.The control group was given nasal plug fixation intervention,and the observation group was fixed with hydrocolloid dressing on the basis of the control group.The occurrence of nasal complications,hospitalization,blood gas indexes and family member’s satisfaction in the two groups were compared.Results:The incidence of nasal complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.044).The time of non-invasive ventilation and length of hospital stay in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).Before the intervention,there were no significant differences in arterial oxygen saturation(SaO_(2)),arterial partial pressure of oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2)),and power of hydrogen(pH)between the two groups(P>0.05).After the intervention,the SaO_(2),PaO_(2) and pH values in the two groups were higher than those before the intervention,and the observation group was higher than the control group;the PaCO_(2) levels in the two groups were lower than those before the intervention,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The family member’s satisfaction in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.010).Conclusion:The application effect of hydrocolloid dressing in the treatment of non-invasive ventilator in neonates is remarkable,which can reduce the risk of nasal complications,improve blood gas indexes,shorten the treatment time and length of hospital stay of children,and improve the satisfaction of children's families.