鱼肝油鼻腔涂擦结合水胶体敷料外敷在新生儿经鼻持续气道正压通气中应用.docVIP

鱼肝油鼻腔涂擦结合水胶体敷料外敷在新生儿经鼻持续气道正压通气中应用 　　[摘要] 目的 探讨鱼肝油鼻腔涂擦结合水胶体敷料外敷在新生儿经鼻持续气道正压通气（N-CPAP）中的应用价值。 方法 将2015年1月～2016年1月在河北省保定市第二中心医院行N-CPAP的新生儿按随机数字表法分为观察组和对照组，每组各40例。在实施N-CPAP期间，对照组给予水胶体敷料覆盖于鼻部及人中部皮肤后选择合适鼻塞并连接管道固定，无污迹者3 d更换1次，有污迹者随时更换；观察组在水胶体敷料覆盖前于鼻腔内及鼻缘涂擦鱼肝油，其余操作同对照组，每日涂擦3次，每次涂擦操作在3～5 min内完成。对比分析两组患儿的治疗依从性、通气效果、鼻内外相关不良事件发生情况。 结果 治疗过程中，观察组治疗依从性优良率明显高于对照组，差异有统计学意义（P 0.05）。 结论 在水胶体敷料外敷基础上结合鱼肝油鼻腔涂擦能增强对鼻周皮肤及鼻中隔、鼻黏膜的保护作用，降低患儿N-CPAP通气的不适感，提高治疗依从性，降低相关不良事件发生率，从而提高N-CPAP通气效果，值得临床推广。 　　[关键词] 鱼肝油；水胶体敷料；新生儿；持续气道正压通气 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2016）09（c）-0135-04 　　[Abstract] Objective To investigate the application value of cod liver oil for nasal inunction and hydrocolloid dressings for external application in neonatal nasal continuous positive airway pressure（N-CPAP）. Methods The newborns who deal with N-CPAP in the Second Central Hospital of Baoding from January 2015 to January 2016 were randomly divided into the observation group and control group with digital table method， each group had 40 cases. During the implementation of N-CPAP， the control group patients were given hydrocolloid dressings covered the nose and the philtrum skin， then chosen appropriate congestion and fixed the connecting pipe， no stains patients were replaced every 3 d， stains patients were replaced at any time. The observation group patients were given cod liver oil for nasal inunction on side of nasal cavity and nasal before the hydrocolloid dressings covered， the rest operation was same to the control group， the cod liver oil was embrocated 3 times a day， each inunction was completed within 3-5 min. The treatment compliance， ventilation effect， nose inside and outside related adverse events of the two groups were contrastively analyzed. Results In the process of the treatment， the good treatment compliance rate of the observation group was significantly higher than that of the control group， the difference had statistical significance （P 0.05）. Conclusion On the basis of hydrocolloid