固定帽在新生儿鼻塞式无创通气中的使用效果

Observations for the effectiveness of locking caps for newborns nose plug noninvasive ventilation

目的探讨固定帽在新生儿鼻塞式无创通气中的使用效果。方法随机将60例使用鼻塞式无创通气治疗的新生儿随机分为2组,实验组30例使用固定帽固定鼻塞和头端呼吸管道,对照组30例使用弹力绷带缠绕头部固定鼻塞和头端呼吸管道。结果比较2组新生儿鼻塞脱落次数,实验组每例每天鼻塞脱落次数为(3.97±0.62)次,对照组为(7.03±1.22)次,差异有统计学意义(P<0.01);2组鼻黏膜和面部皮肤损伤比较,对照组鼻黏膜损伤9例,实验组3例,差异有统计学意义(P<0.05),对照组面部压痕4例,实验组未发生,差异有统计学意义(P<0.05)。结论新生儿鼻塞式无创通气中选择合适的固定帽固定鼻塞和头端呼吸管道,可减少鼻塞脱落次数、降低鼻黏膜和面部皮肤损伤、减少新生儿哭闹、增加舒适度,具有临床价值。

Objective To discuss the effectiveness of locking caps for newborns＇nose plug noninvasive ventilation. Methods 60 newborns who were treated with nose plug noninvasive ventilation were separated in two groups, with 30 of them in an experimental group treated with nose plugs and patient head end breathing tubes fixed by locking cap while other 30 in an control group treated with nose plug sand head end breathing tubes fixed by elastic bandages wrapping the heads. The time of the nose plug-off. Results The time of the nose-plug-off is（3.97±0.62）per person in a day in the experimental group compared to（7.03± 1.22）per person in a day in the control group. The difference is with statistical significance（P〈0.01）. There are 9 damages of nasal mucosa among the 30 newborns in the control group compared to 3 damages of nasal mucosa in the experimental group. The difference is with statistical significance（P〈0.01）. There are 4 facial indentations in the control group compared to no damage of facial skin in the experi- mental group. The difference was with statistical significance（P〈0.01）. Conclusion Choosing appropriate locking caps to fix the nose plugs and head end breathing tubes for newborns＇nose plug noninvasive ventilation can reduce the time of plug-off, relieve the damage of nasal mucosa and facial skin, mitigate children crying and promote the comfort of children patients, there by achieving satisfactory results.