预警护理联合医用弹力网帽对无创矫形治疗先天性耳廓畸形患儿并发症和舒适度的影响  

The effect of early warning nursing combined with medical elastic mesh cap on the complications and comfort of non-invasive orthodontic treatment for congenital auricular malformations in children

作　　者：王卫涛 陈龙华[1] 贾鹏[1] 张乐[1] 司远征[1] WANG Wei-tao;CHEN Long-hua;JIA Peng;ZHANG Le;SI Yuan-zheng(The First Affiffiliated Hospital of Nanyang Medical College,Henan Nanyang,473000,China)

机构地区：[1]南阳医学高等专科学校第一附属医院,河南南阳473000

出　　处：《中国医疗美容》2024年第2期86-89,共4页China Medical Cosmetology

摘　　要：目的观察预警护理联合医用弹力网帽对无创矫形治疗先天性耳廓畸形患儿并发症和舒适度的影响。方法选取2021年1月~2023年6月本院收治的先天性耳廓畸形患儿82例,按预警护理联合医用弹力网帽实施时间分组,将2021年1月~2022年3月实施前的41例患儿设为对照组,将2022年4月~2023年6月实施后的41例患儿设为观察组,两组均采用耳廓矫形器无创矫形治疗。对照组采取医用弹力网帽干预,观察组在对照组基础上联合预警护理,比较两组矫形器佩戴时间及底座脱落情况、并发症发生率及舒适度。结果干预后,观察组无底座脱落发生,明显低于对照组底座脱落发生率为14.63%(c2=6.474,P=0.026);两组矫形器佩戴时间比较无明显差异(P>0.05);干预期间,观察组皮疹等并发症发生率为4.88%明显低于对照组的19.51%(c2=4.100,P=0.043);观察组面部表情、肢体动作、活动状态、哭闹程度、可安慰度及总分均低于对照组(P<0.05)。结论采取预警护理联合医用弹力网帽,可减少矫形器底座脱落,降低先天性耳廓畸形患儿并发症发生率,提升舒适度。Objective To observe the effect of early warning nursing combined with medical elastic mesh caps on the complications and comfort of non-invasive orthodontic treatment for congenital auricular malformations in children.Method 82 children with congenital auricular malformations admitted to our hospital from January 2021 to June 2023 were selected.They were grouped according to the implementation time of early warning nursing combined with medical elastic mesh caps.41 children before implementation from January 2021 to March 2022 were assigned to the control group,and 41 children after implementation from April 2022 to June 2023 were assigned to the observation group.Both groups were treated with non-invasive auricular orthosis.The control group received intervention with medical elastic mesh caps,while the observation group received combined early warning care on the basis of the control group.The wearing time,base detachment,incidence of complications,and comfort of the two groups were compared.Results After the intervention,there was no occurrence of base detachment in the observation group,which was signifificantly lower than the control group(0.00 vs 14.63%)(c2=6.474,P=0.026).There was no signifificant difffference in wearing time between the two groups of orthoses(P>0.05).During the intervention period,the incidence of complications such as rash in the observation group were significantly lower than the control group(4.88%vs 19.51%)(c2=4.100,P=0.043).The facial expression,limb movements,activity status,crying level,comfort level,and total score of the observation group were lower than those of the control group(P<0.05).Conclusion Adopting early warning nursing combined with medical elastic mesh caps can reduce the detachment of the orthosis base,reduce the incidence of complications in children with congenital auricular malformations,and improve comfort.

关 键 词：先天性耳廓畸形 患儿 无创矫形治疗 医用弹力网帽 预警护理 

分 类 号：R473.76[医药卫生—护理学]