两种经鼻气管插管固定法预防颌面部手术患者鼻部压疮的效果观察.pdfVIP

现代临床护理 (Modem ClinicalNursing)2014．13(10) 2l 两种经鼻气管插管固定法预防颌面部手术患者鼻部压疮的效果观察 古文珍 ，林丽婷 ，黄秋雨，唐 系甜 (中山大学附属 口腔医院，广东广州，510060) [摘要] 目的 探讨两种经鼻气管插管固定法预防颌面部手术患者鼻部压疮的效果观察。方法 将300例经鼻气管插 管全麻手术时间≥4h患者，随机分为对照组和实验组，每组各 150例。对照组采用透明胶布在鼻背周定气管导管，并在导管 末端与螺纹管衔接处用厚层纱布包裹 ；实验组在固定导管前先用美皮康敷贴包裹气管导管弯曲处 1圈，然后按对照组方法固 定导管。比较手术结束至术后第 1天两组患者鼻部压疮发生情况。结果 对照组患者鼻部术后 I期压疮发生率为4．7％，实验 组患者未发生压疮，两组患者压疮发生率 比较，PO．05，差异具有统计学意义，实验组患者压疮发生率明显低于对照组。结 论 应用美皮康敷贴改进气管导管固定法，能有效预防经鼻气管插管全麻手术≥4h颌面部手术患者鼻部压疮的发生。 [关键词]颌面部手术；经鼻气管插管；压疮；美皮康敷贴 [中图分类号] R473。78 [文献标识码]A [文章编号] 1671—8283(2014)10—0021—03 [DOI] 10．39690，issn．1671—8283．2014．10．007 EffectoftwofixationmethodsOfnas0trachealintubationontheoccurrenceof nasalpressuresoresinpatientswithmaxillofacialsurgery GuWenzhen，LinLiting，HuangQiuyu，TangXitian／／ModemClinicalNursing，-2014，13(10)：21． [Abstract]0bjective TodiscusstwofixationmethodsofnasotrachealintubationORtheoccurrenceofnasalpressuresoresin patientswithmaxillofacialsurgery．M ethods Threehundredcasesofpatientsundergeneralanesthesiamorethan4hourswiththe nasalendotrachealintubationwererandomlyassignedintocontrolgroupandexperimentrgoupwith150casesineachgroup．Incontrol group，medicaltapewasusedtofixtheendotrachealtubetodorsum，wrappingaroundthejointofendotrachealtubeandthreaded pipe．Inexperimentrgoup，Mepilexfoamdressingwasusedtowrapoverthebendofendotraehealtube，withgauzecovetingthejoint ofendotrachealtubeandthreadedpipebeforefixingtheendotrachealtubetodorsum．Finally，theoccurrenceofpressuresoresrfom theendofsurgery topostoperative1daywerecomparedbetweenthetworgoups．Results Theincidenceofpatientswithfirststage pressuresoreswas4．7％ incontrolgroupwhilenoneinexperimentgroup．Theincidenceofnasalpressuresoreswasmuchlowerin experimentgroupthanthatincontrolgroup(P0．05)．Conclusions TheuseofMepilexfoamdressingcanreducethepressure andrfictionbetwe