NICU早产儿发生医源性皮肤损伤的影响因素  

Influencing factors of iatrogenic skin injuries in premature infants in NICU

作　　者：张小丹 耿胜南 吴月 ZHANG Xiaodan;GENG Shengnan;WU Yue(Department of Pediatrics of Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州大学附属郑州中心医院儿科,河南郑州450000

出　　处：《中国民康医学》2022年第13期7-9,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨新生儿重症监护病房(NICU)内早产儿发生医源性皮肤损伤的影响因素。方法:收集2018年6月至2020年8月该院收治的53例发生医源性皮肤损伤的NICU早产儿,将其纳入发生组;另收集同期53例未发生医源性皮肤损伤的NICU早产儿,纳入未发生组。收集所有早产儿的基线资料,分析NICU早产儿发生医源性皮肤损伤的影响因素。结果:发生组体质量<1500 g、合并尿布性皮炎、使用医用粘胶、药物外渗伤占比均高于未发生组,差异有统计学意义(P<0.05);两组性别、出生方式、使用留置针占比比较,差异均无统计学意义(P>0.05);经Logistic回归分析结果显示,早产儿体质量<1500 g、合并尿布性皮炎、使用医用粘胶、药物外渗伤均为影响NICU早产儿发生医源性皮肤损伤的危险因素(OR>1,P<0.05)。结论:早产儿体质量<1500 g、合并尿布性皮炎、使用医用粘胶、药物外渗伤均为影响NICU早产儿发生医源性皮肤损伤的危险因素。Objective: To investigate influencing factors of iatrogenic skin injuries in premature infants in neonatal intensive care unit(NICU). Methods: The clinical data of 53 NICU premature infants with iatrogenic skin injuries admitted to the hospital from June 2018 to August 2020 were retrospectively analyzed, and they were included in occurrence group;the clinical data of another 53 cases without iatrogenic skin injuries during the same period were collected, and they were set as non-occurrence group. The baseline data of all premature infants were collected. Then, the influencing factors of iatrogenic skin injuries in these premature infants in NICU were analyzed. Results: The proportions of body weight <1500 g,diaper dermatitis, use of medical adhesive, and drug extravasation injury in the occurrence group were higher than those in the non-occurrence group,and the differences were statistically significant(P<0.05). However, there were no significant differences in gender, birth way, and proportion of indwelling needles used between the two groups(P>0.05). Logistic regression analysis showed that the weight of preterm infants < 1500 g, diaper dermatitis, the use of medical adhesive, and drug extravasation injury were all risk factors for iatrogenic skin injuries in the preterm infants in NICU(OR>1, P<0.05). Conclusions: The weight of preterm infants < 1500 g, diaper dermatitis, the use of medical adhesive, and drug extravasation injury are all risk factors for iatrogenic skin injuries in the preterm infants in NICU.

关 键 词：医源性皮肤损伤 早产儿 体质量 尿布性皮炎 药物外渗 影响因素 

分 类 号：R473.72[医药卫生—护理学]