新生儿经鼻持续无创正压通气致鼻损伤的现状调查及影响因素分析  

Status and influencing factors of nasal injury caused by nasal continuous positive airway pressure in neonates

作　　者：赵宝君[1] 刘雪琴[1] 王平[1] Zhao Baojun;Liu Xueqin;Wang Ping(Neonatal Intensive Care Unit,Xinxiang Central Hospital,Xinxiang 453000,China)

机构地区：[1]新乡市中心医院NICU,新乡453000

出　　处：《中华现代护理杂志》2022年第14期1944-1947,共4页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划项目(LHGJ20191319)。

摘　　要：目的调查新生儿经鼻持续无创正压通气(NCPAP)致鼻损伤的现状并分析影响因素。方法采用便利抽样法,选取2019年7月—2020年12月在新乡市中心医院接受NCPAP治疗的114例新生儿为研究对象,统计新生儿鼻损伤情况,收集与分析新生儿一般资料,采用单因素分析探讨NCPAP治疗的新生儿发生鼻损伤的影响因素。结果114例接受NCPAP治疗的新生儿中鼻损伤发生率为27.19%(31/114);单因素分析显示,胎龄、出生时体重、NCPAP时间、NCPAP使用方式、是否发生胎膜早破、是否为早产儿是新生儿NCPAP致鼻损伤发生的影响因素(P<0.05)。结论NCPAP易导致新生儿发生鼻损伤,胎龄、出生时体重、NCPAP时间、NCPAP使用方式、是否发生胎膜早破、是否为早产儿是影响因素。Objective To explore the status of nasal injury caused by nasal continuous positive airway pressure(NCPAP)in neonates and analyze the influencing factors.Methods From July 2019 to December 2020,convenience sampling was used to select 114 neonates who received NCPAP in Xinxiang Central Hospital as the research object.Neonatal nasal injury was counted,and general information of neonates was collected and analyzed.Univariate analysis was used to explore the influencing factors of nasal injury in neonates treated with NCPAP.Results Among 114 neonates treated with NCPAP,the incidence of nasal injury was 27.19%(31/114).Univariate analysis showed that gestational age,birth weight,NCPAP time,NCPAP use method,premature rupture of membranes,and premature infant were the influencing factors of neonatal NCPAP-associated nasal injury(P<0.05).Conclusions NCPAP predisposes to nasal injury in neonates.Gestational age,birth weight,NCPAP time,NCPAP use method,premature rupture of membranes,and premature infant were the influencing factors.

关 键 词：婴儿 新生 经鼻持续无创正压通气 鼻损伤 影响因素 

分 类 号：R473.72[医药卫生—护理学]