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水胶体敷料在新生儿无创辅助通气中的应用(1)
http://www.100md.com 2015年10月15日 《中国医学创新》 2015年第29期
     【摘要】 目的:探讨水胶体敷料在新生儿无创辅助通气中的应用。方法:选取2011年2月-2014年2月在本院行无创辅助通气治疗的200例新生儿作为研究对象,按照随机数字表法将其分为观察组和对照组,每组各100例。对照组采用常规方法治疗,观察组新生儿在此基础上加用水胶体敷料,比较两组患儿的通气效果、治疗依从性、皮肤破损情况及家长对通气治疗满意度。结果:经治疗后,观察组新生儿通气治疗总有效率97.0%明显高于对照组的84.0%,新生儿治疗依从的优良率为88.0%,明显高于对照组的70.0%,皮肤破损发生率2.0%明显低于对照组的16.0%,家长对通气治疗满意度98.0%明显高于对照组的70.0%,差异均有统计学意义(P<0.05)。结论:水胶体敷料在新生儿无创机械通气中应用效果显著,能够有效地减少患儿的皮肤破损情况,值得在临床研究与治疗中加以推广和运用。

    【关键词】 水胶体敷料; 新生儿; 无创辅助通气; 应用效果

    Application of Hydrocolloid Dressings in the Neonatal Noninvasive Assisted Ventilation/ZENG Xin-hua,OUYANG Yan,LAI Hui-hong.//Medical Innovation of China,2015,12(29):090-093
, 百拇医药
    【Abstract】 Objective:To investigate the application of hydrocolloid dressings in the neonatal noninvasive assisted ventilation.Method:A total of 200 newborns with noninvasive assisted ventilation admitted to our hospital from February 2011 to February 2014 were selected as research objects,they were divided into the observation group and the control group according to the random number table method,100 cases in each group.The control group was given conventional methods for treatment,the observation group was given hydrocolloid dressings on the basis of the control group.The ventilation effect,treatment compliance,skin damage of the children and the parents’ satisfaction with ventilation therapy between the two groups were compared.Result:After treatment,the ventilation treatment total effective of the observation group was 97.0%,which was significantly higher than 84.0% of the control group,the excellent rate of treatment compliance in the observation group was 88.0%,which was significantly higher than 70.0% in the control group,the incidence of skin damage in the observation group was 2.0%,which was significantly lower than 16.0% in the control group,the parents’ satisfaction with ventilation therapy of the observation group was 98.0%,which was significantly higher than 70.0% of the control group,the differences were statistically significant(P<0.05).Conclusion:The application effect of hydrocolloid dressings in neonatal noninvasive assisted ventilation is significant,is worthy of promotion and application in clinical research and treatment.
, 百拇医药
    【Key words】 Hydrocolloid dressings; Newborn; Noninvasive assisted ventilation; Application effect

    First-author’s address:The First Affiliated Hospital of Gannan Medical University,Ganzhou 341000,China

    doi:10.3969/j.issn.1674-4985.2015.29.027

    新生儿由于其自身的肺容量较小,且功能性残气量也相对较小,所以,新生儿在呼气时,其体内的末肺泡容易出现不同程度的萎陷现象,致使新生儿出现诸多不良反应,如呼吸窘迫和三凹征等,症状严重时可致使新生儿呼吸衰竭[1]。因此,在新生儿出生后,若其存在不同程度的呼吸窘迫现象,则对其实施无创辅助通气便属于临床护理工作的重要内容之一,已引起了广大医务工作者的广泛关注[2]。为了寻找可以最大限度地优化无创辅助通气治疗效果的有效方法,本研究选取200例应用无创辅助通气的新生儿进行分组研究,两组均行常规通气治疗,在此基础上,观察组新生儿加用水胶体敷料,本研究结果实现了预期的研究目标,现就本次研究的主要方法及所取得的初步成果作如下汇报。, http://www.100md.com(曾新华 欧阳燕 赖慧虹)
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