自制减压双鼻氧管预防昏迷患者鼻氧管耳部压疮的效果观察

Effect observation of using the self-made pressure reduction bilateral nasal oxygen tube to prevent the nasal oxygen tube ear pressure sore for the comatose patients

目的 观察并探讨自制减压双鼻氧管预防昏迷患者鼻氧管耳部压疮的效果.方法将2016年1-12月我科收治的86例需持续氧气吸入的昏迷患者,采用随机数字分组法分为观察组和对照组,每组各43例,观察组采用自制减压双鼻氧管氧气吸入,对照组予常规一次性双鼻氧管氧气吸入.观察2组患者鼻氧管耳部压疮发生情况及压疮分期.结果2组患者Braden评分比较差异无统计学意义（P＞0.05）.在分别给予不同的氧气连接材料进行氧疗后,观察组43例患者中仅2例患者出现了鼻氧管耳部压疮,而在对照组有9例,对照组鼻氧管耳部压疮发生率显著高于观察组,差异有统计学意义（χ2=5.11,P＜0.05）.结论自制减压双鼻氧管在预防昏迷患者鼻氧管耳部压疮中,能有效减轻耳部皮肤压迫,减少压疮的发生,效果明显,护理质量得到提升,值得临床推广.

Objective To observe and discuss the effect of using the self-made pressure reduction bilateral nasal oxygen tube to prevent the ear pressure sore for the comatose patients. Methods Totally 86 cases of comatose patients which needed permanent oxygen inhale admitted during Jan 2016 to Dec 2016 were divided into observation group and control group：Each group 43 cases. Observation group used self-made pressure reduction bilateral nasal oxygen tube to inhale the oxygen, control group used the conventional disposable bilateral nasal oxygen tube to inhale the oxygen and the pressure ulcer stage. Results There was no significant difference in Braden score in two groups, the difference was statistically significant （P〉0.05） . Observed two groups patients′ nasal oxygen tube ear pressure sore situation, these were only 2 patients happened nasal oxygen tube ear pressure sore in observation group, on the contrary, these were 9 patients happened in control group, occulting probability was higher than observation group significantly. and the extend of the pressure sore is much serious than the observation. Difference was statistically significant （χ2=5.11, P〈0.05）. Conclusions During the privation of the nasal oxygen tube ear pressure sore for the comatose patients, self-made pressure reduction bilateral nasal oxygen tube can alleviate the ear skin pressure effectively, reduce the pressure sore occur, the effect is obvious, nursing quality is improved, deserve the clinical expansion.