PICU患儿经鼻高流量氧疗两种鼻塞固定方法的应用分析  

Effect Analysis of Two Nasal Congestion Fixation Methods in Children with PICU with High-flow Oxygen Therapy Through the Nose

作　　者：陈少环 柯翠云 郭群霞 胡雪琴 沈燕玉 CHEN Shaohuan;KE Cuiyun;GUO Qunxia;HU Xueqin;SHEN Yanyu(Zhangzhou Hospital Affiliated to Fujian Medical University,Zhangzhou 363000,China)

机构地区：[1]福建医科大学附属漳州市医院,福建漳州363000

出　　处：《中国医药指南》2022年第36期97-100,共4页Guide of China Medicine

摘　　要：目的 探讨采用两种鼻塞固定方法对PICU患儿经鼻高流量氧疗(HFNC)的临床应用效果。方法 选择漳州市医院儿童重症监护室(PICU)收治的符合入选标准使用经鼻高流量氧疗的患儿125例为研究对象,随机分为试验组(60例),对照组(65例)。对照组采用“王”字型固定,试验组采用“Y”字型固定。比较两组患儿氧疗期间24 h鼻塞脱落次数、鼻腔黏膜损伤、人中皮肤损伤、面颊皮肤损伤。结果 试验组24 h鼻塞脱落次数、鼻腔黏膜损伤、人中皮肤损伤、面颊皮肤损伤均小于对照组,差异具有统计学意义(P <0.05)。结论 在患儿使用经鼻高流量氧疗时,采用“Y”字型的鼻塞固定方法,能够明显的减少患儿鼻塞脱落的次数,降低鼻腔黏膜、人中皮肤、面颊皮肤损伤的发生率,提高患儿的舒适性,具有可行性。Objective To investigate the clinical application effect of two nasal obstruction fixation methods on transnasal high-flow oxygen therapy(HFNC) in children in PICU.Methods A total of 125 children with HFNC admitted to the Children’s Intensive Care Unit(PICU) of Zhangzhou Hospital were randomly divided into experimental group(60 cases) and control group(65 cases).The control group adopted the "王" font fixed,and the experimental group adopted the "Y" font fixed.The 24 hour nasal congestion shedding times,nasal mucosa injury,philtrum skin injury and cheek injury were compared between the two groups.Results In the experimental group,the number of nasal congestion shedding,nasal mucosa,philtrum skin and cheek skin injuries were all less than those in the control group,and the difference was statistically significant(P<0.05).Conclusion When children use HFNC,using the "Y" shaped nasal obstruction fixing method can obviously reduce the number of nasal obstruction falling off,reduce the incidence of nasal mucosa,human skin and cheek skin injuries,and improve the comfort of children,which is feasible.

关 键 词：鼻塞固定 PICU患儿 经鼻高流量氧疗 应用效果 

分 类 号：R725.6[医药卫生—儿科]