自制口罩在无创通气中的应用效果  

Effect of customized mask in noninvasive ventilation

作　　者：赵雅萌[1] 卢敬钗[1] 

机构地区：[1]第二炮兵总医院呼吸科,北京100088

出　　处：《中华现代护理杂志》2012年第14期1707-1708,共2页Chinese Journal of Modern Nursing

摘　　要：目的探讨自制口罩对无创通气治疗中的漏气、患者鼻梁皮肤损伤等常见问题的临床疗效。方法将第二炮兵总医院呼吸科在2006年1月至2011年3月间收治的80例无创通气患者纳入本研究，采用区组随机化法，以4人为一区组将患者随机分为实验组与对照组各40例。实验组采用自制口罩配合面罩呼吸机行无创通气治疗，对照组直接采用面罩呼吸机行常规无创通气治疗。监测两组患者的呼吸机漏气、面部及鼻梁周围皮肤损伤情况，比较两组患者发生不良反应的差异。结果采用自制口罩配合面罩呼吸机行无创通气治疗，实验组患者呼吸机漏气与皮肤损伤的发生率分别为2．5％与5．0％，对照组分别为22．5％与52．5％，差异均具有统计学意义（x2分别为5．60，22．03；P〈0．05或P〈0．01）。结论采用自制口罩配合面罩呼吸机行无创通气治疗，可有效减少呼吸机漏气与皮肤损伤等不良反应的发生。Objective To explore the clinical effect of customized mask on the leakage and skin injury of patients with noninvasive ventilation. Methods Totals of 80 patients treated with noninvasive ventilation were randomly divided into treatment group and control group, with 40 cases in each group. The patients in treatment group received combined application of the customized mask and the face mask ventilator, while control group received the mask ventilator solely. The adverse reactions in two groups were compared. Results The ratio of adverse reactions such as leakage and skin injury of treatment group was 2.5% and 5%, while that of control group was 22.5% and 52.5%, and the differences between two groups was statistically significant （X2 =5.60,22.03, respectively;P 〈0. 05 or P 〈0. 01）. Conclusions The adverse reactions in noninvasive ventilation such as leakage and skin injury can be effectively avoided by applying the customized mask.

关 键 词：护理 无创通气 口罩 

分 类 号：R472[医药卫生—护理学]