NICU加温湿化高流量鼻导管通气与鼻塞持续气道正压通气对鼻中隔损伤的护理观察

Nursing observation of NICU hyperthermia and high flow nasal catheter ventilation and nasal plug continuous positive airway pressure ventilation for nasal septum injury

目的对比NICU加温湿化高流量鼻导管通气(HHFNC)与鼻塞式持续气道正压通气(NCPAP)对鼻中隔损伤的护理效果。方法选取2015年2月~2017年8月我院收治的呼吸窘迫综合征早产儿70例作为研究对象,采用数字随机方法分组,对照组35例给予NCPAP治疗及护理,观察组35例给予HHFNC治疗及护理,对比两组患儿鼻中隔损伤情况。结果观察组鼻中隔损伤发生率为2.86%(1/35),对照组22.86%(8/35),差异有统计学意义(P<0.05)。结论给予NICU加温湿化高流量鼻导管通气,能够有效减少鼻中隔损伤,具有较高的临床价值。

Objective To compare the nursing effect of NICU hyperthermia and hyperthermia nasal catheter ventilation(HHFNC)and nasal continuous positive airway pressure(NCPAP)on nasal septum injury.Methods From February 2015 to August 2017,70 cases of premature infants with respiratory distress syndrome in our hospital were selected as the research object,and all them were devided into two groups using digital random grouping method.Thirty-five patients in control group were given NCPAP treatment and nursing,thirty-five cases in observation group were given HHFNC treatment and nursing care,the nasal septum damage of two groups were compared.Results The incidence of nasal septum injury in the observation group was 2.86%(1/35),and the incidence of control group was 22.86%(8/35),the difference was statistically significant(P<0.05).Conclusion NICU hyperthermia and high flow nasal catheter ventilation can effectively reduce the nasal septum injury,and has a high clinical value.