世界最新医学信息文摘（电子版）
世界最新醫學信息文摘（電子版）
세계최신의학신식문적（전자판）
World Latest Medicine Information
2014年
10期
22-23
,共2页
新生儿%人工皮肤%持续气道正压通气(cPaP)
新生兒%人工皮膚%持續氣道正壓通氣(cPaP)
신생인%인공피부%지속기도정압통기(cPaP)
newborn%artiifcial skin%continuous positive airway pressure (CPAP)
目的：探讨人工皮肤在新生儿持续气道正压通气（cPaP）中的临床应用。方法选取我院2013年2月至2014年1月期间96例行cPaP治疗患儿，随机分为对照组和观察组，各48例，行cPaP治疗前，对照组采用石蜡油涂抹鼻子局部及鼻腔，观察组采用人工皮肤贴于鼻子周围，比较两组cPaP后患儿鼻子局部皮肤损伤、感染情况及平均住院时间。结果对照组鼻子局部皮肤损伤率14.58%，局部皮肤感染率10.42%，平均住院时间（20.6±4.1）d；观察组鼻子局部皮肤损伤率2.08%，局部皮肤感染率0.00%，平均住院时间（11.9±3.5）d；各项指标组间差异比较均有统计学意义（P＜0.05）。结论人工皮肤的使用可有效缓解cPaP鼻塞对患儿鼻子局部皮肤的压迫，降低局部皮肤损伤率和感染率，从而缩短住院时间，应在临床中推广应用。
目的：探討人工皮膚在新生兒持續氣道正壓通氣（cPaP）中的臨床應用。方法選取我院2013年2月至2014年1月期間96例行cPaP治療患兒，隨機分為對照組和觀察組，各48例，行cPaP治療前，對照組採用石蠟油塗抹鼻子跼部及鼻腔，觀察組採用人工皮膚貼于鼻子週圍，比較兩組cPaP後患兒鼻子跼部皮膚損傷、感染情況及平均住院時間。結果對照組鼻子跼部皮膚損傷率14.58%，跼部皮膚感染率10.42%，平均住院時間（20.6±4.1）d；觀察組鼻子跼部皮膚損傷率2.08%，跼部皮膚感染率0.00%，平均住院時間（11.9±3.5）d；各項指標組間差異比較均有統計學意義（P＜0.05）。結論人工皮膚的使用可有效緩解cPaP鼻塞對患兒鼻子跼部皮膚的壓迫，降低跼部皮膚損傷率和感染率，從而縮短住院時間，應在臨床中推廣應用。
목적：탐토인공피부재신생인지속기도정압통기（cPaP）중적림상응용。방법선취아원2013년2월지2014년1월기간96례행cPaP치료환인，수궤분위대조조화관찰조，각48례，행cPaP치료전，대조조채용석사유도말비자국부급비강，관찰조채용인공피부첩우비자주위，비교량조cPaP후환인비자국부피부손상、감염정황급평균주원시간。결과대조조비자국부피부손상솔14.58%，국부피부감염솔10.42%，평균주원시간（20.6±4.1）d；관찰조비자국부피부손상솔2.08%，국부피부감염솔0.00%，평균주원시간（11.9±3.5）d；각항지표조간차이비교균유통계학의의（P＜0.05）。결론인공피부적사용가유효완해cPaP비새대환인비자국부피부적압박，강저국부피부손상솔화감염솔，종이축단주원시간，응재림상중추엄응용。
Objective to investigate the artificial skin in neonates with continuous positive airway pressure(cPaP) in clinical application. Methods in our hospitalduring 2013 february to 2014 January 96 cases ofchildren with cPaP treatment, were randomly divided into control group and observation group, each 48 patients,underwent cPaP before treatment, the control group using parafifn oil smearing nose local and nasal cavity,the observation group was treated with artiifcial skinattached to the nose, compared two groups of cPaP in children after nose skin injury, infection and the average hospitalization time. Results in the control group, the noseskin injury was 14.58%, 10.42%local skin infection rate,average hospitalization time (20.6 ± 4.1) d;the observation group nose local skin injury was 2.08%, 0%local skin infection rate, average hospitalization time (11.9 ± 3.5) d;the difference between the index group were statistically signiifcant (P<0.05). Conclusion Using artiifcial skin can effectively alleviate the congestion of cPaP compression with nose of local skin, reduce skin damage rate and the infection rate, and shorten the time of hospitalization, should be popularized in clinical application.
