拜尔坦无粘胶泡沫敷料预防无创面罩致鼻面部压力性损伤的效果

Effect of Bertan Non-adhesive Foam Dressing on Preventing Rhinofacial Pressure Injury Caused by Non-invasive Mask

目的探究分析拜尔坦无粘胶泡沫敷料应用于预防患者无创面罩致鼻面部压力性损伤的效果。方法选取2019年6月至2020年1月本院冠心病重症监护室收治的心肌梗死患者42例作为观察对象,随机为对照组和实验组,各21例,所有患者均给予无创呼吸机辅助通气治疗,对照组鼻面部使用3M水胶体进行保护,实验组使用拜尔坦无粘胶泡沫敷料进行保护,对比两组心肌梗死患者的动脉血气分析指标、致鼻面部压力性损伤情况及患者舒适度。结果实验组利用拜尔坦无粘胶泡沫敷料保护后,动脉血气分析指标pH、PaO_(2)、SaO_(2)优于对照组,PaCO_(2)明显低于对照组,舒适度评分更高,通气效果不佳、烦躁不安、面部灼烧感、皮肤水泡破溃等致鼻面部压力性损伤的发生率更低,差异具有统计学意义(P<0.05)。实验组护理后认知水平高于对照组,P<0.05(T=5.234)。结论拜尔坦无粘胶泡沫敷料应用于预防鼻面部压力性损伤的效果突出,能够有效提升患者的通气舒适度,优化动脉血气分析指标,提高患者使用舒适度。具有较为突出的临床价值,值得进一步推广适用。

Objective To explore the effect of non-adhesive foam dressing to prevent nasofacial pressure injury caused by noninvasive mask.Methods selected from June 2019 to January 2020 patients with myocardial infarction as observation object,random to control group and experimental group,21 cases,all patients are given non-invasive ventilator assisted ventilation treatment,control group with 3M facial nasal colloid protection,experimental group use bytan non-adhesive foam dressing protection,compare the two groups of arterial blood gas analysis index of patients with myocardial infarction,facial pressure injury and patient comfort.Results Then,pH,PaO_(2) and SaO_(2) were better than the control group,PaCO_(2) was significantly lower than that of the control group,the comfort score was higher,the incidence of facial irritation,facial burning and skin blisters was lower,and the difference was statistically significant(P<0.05).The cognitive level of the experimental group was higher than that of the control group,P<0.05(T=5.234).Conclusion The application of Bertan non-adhesive foam dressing can prevent nasofacial pressure injury,which can effectively improve the ventilation comfort of patients,optimize the arterial blood gas analysis index,and improve the use comfort of patients.It has outstanding clinical value and is worth further promotion and application.