The value of three-piece hydrocolloid in reducing nasal pressure injury in neonateswith positive nasal pressure ventilation
三片式水胶体降低新生儿经鼻正压通气鼻部压力性损伤的价值研究

摘要

目的 探讨三片式水胶体降低新生儿经鼻正压通气鼻部压力性损伤的临床价值。方法 选择2021年6月-2022年6月在我院新生儿重症监护室（NICU）的经鼻正压通气治疗的266例新生儿为研究对象。利用随机抽取双色球方法进行分组，分为对照组（圆孔型鼻贴保护，共133例）与实验组（三片式水胶体敷料保护，共133例）。对比分析两组鼻部压力性损伤情况、血气指标、治疗依从性及不良事件发生情况。结果 在鼻部压力性损伤发生率上，实验组显著低于对照组（P＜0.05）。在动脉血氧分压（PaO2）、动脉血二氧化碳分压（PaCO2）及血氧饱和度（SpO2）上，实验组优于对照组（P＜0.05）。在治疗依从率上，实验组高于对照组（P＜0.05）。结论 对经鼻正压通气治疗的新生儿实施三片式水胶体敷料治疗后，有利于减少鼻部压力性损伤的发生，临床可进一步推广应用。

Abstract

Objective to study the three panel water gel to reduce neonatal nasal positive airway pressure the clinical value of nasal pressure).
Methods in June 2021-June 2022 in our hospital neonatal intensive care unit (NICU) of nasal positive airway pressure treatment of 266 cases of neonatal as the research object. Using random grouping method of the double chromosphere, divided into control group (circular groove nose protection, a total of 133 patients) and experimental group (three chip hydrocolloid dressings protection, a total of 133 cases).Analysis of two groups of nasal pressure damage, blood gas index, treatment adherence and adverse events.
Results in the nasal pressure on the incidence of injury, the experimental group was significantly lower than control group (P<0.05). In arterial blood oxygen partial pressure, arterial blood (PaO2) co2 partial pressure (PaCO2) and blood oxygen saturation (SpO2), the experimental group is better than that of control group (P<0.05).On the treatment compliance rate, the experimental group was higher than control group (P<0.05).
Conclusion   the nasal positive airway pressure treatment of neonatal implement three chip hydrocolloid dressings after treatment, is conducive to reducing the occurrence of nasal pressure damage, clinical can further popularization and application.