NCPAP早产儿鼻塞与鼻罩交替间隔时间的研究  

Study on length of rotation of nasal prongs and nasal mask in premature infants undergoing nasal continuous positive airway pressure

作　　者：朱凤 林婷 丁文雯 林迦密 秦建芬[1] 魏丽 Zhu Feng;Lin Ting;Ding Wenwen;Lin Jiami;Qin Jianfen;Wei Li(Neonatology Department,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310020,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院新生儿科,浙江杭州310020

出　　处：《护理学杂志》2023年第13期43-46,共4页Journal of Nursing Science

基　　金：2021年度邵逸夫医院护理科研基金资助项目(202135HLGL);浙江大学2019年省教育厅一般科研项目(浙大科发[2019]2号)。

摘　　要：目的探讨鼻塞与鼻罩2 h和4 h交替降低经鼻持续气道正压通气(NCPAP)早产儿鼻部压力性损伤的效果,为预防早产儿器械相关压力性损伤提供参考。方法将73例早产儿按随机数字表法分为鼻塞与鼻罩2 h交替组(37例)和4 h交替组(36例),比较两组NCPAP使用时间、用氧浓度、鼻部压力性损伤情况,以及护士工作量。结果两组鼻部压力性损伤发生率、NCPAP使用时间、用氧浓度比较,差异无统计学意义(均P>0.05),鼻塞与鼻罩4 h交替组的护士工作量显著低于2 h交替组(P<0.05)。结论NCPAP使用期间鼻塞与鼻罩4 h交替在改善患儿鼻部压力性损伤的结局,提高患儿舒适度与安全性的同时,可减轻护理人员工作量。Objective To explore the effect of nasal prongs and nasal mask alternately for 2h and 4h on reducing nasal pressure injury in premature infants undergoing Nasal Continuous Positive Airway Pressure(NCPAP),and to provide a reference for preventing device related pressure injury in premature infants.Methods A total of seventy-three premature infants were randomly divided into a Q2h rotation group(n=37)of nasal mask with nasal prongs and Q4h rotation group(n=36).The NCPAP use time,oxygen concentration,severity of nasal pressure injury and workload of nurses between the two groups were compared.Results There we-ren′t significant differences between the two groups in the incidence of nasal pressure injury,NCPAP use time and oxygen concentration(all P>0.05),while the nurse workload of the Q4h rotation group was significantly lower than that of the Q2h group(P<0.05).Conclusion The replacement of nasal prongs and nasal mask Q4h during the use of NCPAP,can improve children′s outcome of nasal pressure injury,enhance their level of comfort and safety,and reduce the workload of nursing staff at the same time.

关 键 词：早产儿 经鼻持续气道正压通气 压力性损伤 鼻塞 鼻罩 交替时间 

分 类 号：R472[医药卫生—护理学]