鼻部透明贴预防无创通气时鼻梁部压力性溃疡形成的效果

Protective effects of nose bridge transparent dressing on pressure ulcer formation of nose bridge in patients undergoing noninvasive ventilation

目的观察鼻部透明贴预防无创通气时鼻梁部压力性溃疡形成的效果。方法72例58～79岁临床情况无显著差异的呼吸衰竭患者接受无创机械通气，并随均分成对照组（面罩直接接触皮肤）和实验组在（鼻梁处贴有鼻部透明贴，然后再戴通气面罩）。每隔30min用30S评估鼻梁部压力性溃疡的形成，若出现I期压力性溃疡观察即告结束。结果鼻部透明贴组有11例出现鼻梁压力性溃疡，少于对照组（34例，P=0.00），出现溃疡时间为58．62h，显著长于对照组（18．13h，P=0．00）。结论使用鼻部透明贴在无创机械通气患者中可以有效减少鼻梁部压力性溃疡的发生及延迟压力性溃疡的发生。

objective To investigate the protective effects of transparent film over the nasal bridge on the ulcer formation of nose bridge in patients undergoing noninvasive ventilation （NIV）. Methods 72 cases of patients undergoing NIV, aged 58-79, without significant differences in their clinical situations, and 53.4% of which suffered from shortage of nutritional support, were randomly divided into 2 equal groups： control group （with the mask direct contacting the skin） and experimental group （with Comfeel Transparent Dressing affixed on the nose bridge）. Every 30 min, the nose bridge was observed for 30 s to evaluate the formation of ulcer. Results Eleven of the patients in the experiment group suffered from pressure ulcer of bridge of nose, a number significant less than that of the control group （34, P=0.00）. The time of occurrence of pressure ulcer in the experiment group was 58.62 h, significantly longer than that of the control group （18.13 h, P = 0.00）. Conclusion transparent film over the nasal bridge effectively prevents the formation of nose bridge pressure ulcer in the patients undergoing NIV.