CAJ | 학술논문

目的：探讨痊愈妥在预防重症急性胰腺炎无创通气患者面部压疮中的疗效。方法将90例重症急性胰腺炎使用无创通气患者按计算机随机数字表法分为对照组和观察组各45例，对照组采用康惠尔溃疡贴保护面部受压皮肤，观察组采用痊愈妥保护面部受压皮肤，比较两组患者面部受压皮肤压疮发生情况及敷料更换时间的差异。结果对照组有13例发生面部压疮，其中Ⅰ期压疮11例，Ⅱ期压疮2例，观察组仅有4例患者发生Ⅰ期压疮，两组患者比较，差异有统计学意义（χ2＝5．874，P＜0．05）；观察组患者面部受压部位更换敷料时间为（72．53±6．48）h，长于对照组的（24．36±5．78）h，差异有统计学意义（t＝37．214，P＜0．01）。结论痊愈妥预防重症急性胰腺炎无创通气患者面部压疮效果明显。
목적：탐토전유타재예방중증급성이선염무창통기환자면부압창중적료효。방법장90례중증급성이선염사용무창통기환자안계산궤수궤수자표법분위대조조화관찰조각45례，대조조채용강혜이궤양첩보호면부수압피부，관찰조채용전유타보호면부수압피부，비교량조환자면부수압피부압창발생정황급부료경환시간적차이。결과대조조유13례발생면부압창，기중Ⅰ기압창11례，Ⅱ기압창2례，관찰조부유4례환자발생Ⅰ기압창，량조환자비교，차이유통계학의의（χ2＝5．874，P＜0．05）；관찰조환자면부수압부위경환부료시간위（72．53±6．48）h，장우대조조적（24．36±5．78）h，차이유통계학의의（t＝37．214，P＜0．01）。결론전유타예방중증급성이선염무창통기환자면부압창효과명현。
Objective To explore the effect of Quanyutuo on preventing the facial pressure sores in severe acute pancreatitis patients with noninvasive ventilation .Methods Ninety severe acute pancreatitis patients with noninvasive ventilation were divided into the control group and the observation group according to the random number table , each with 45 cases.The control group received the Kanghuier ulcer stick to protect facial skin, and the observation group received the Quanyutuo , and the incidence of the facial pressure sores and the time of dressing exchange were compared in two groups .Results The cases of emergence of facial pressure sores were 13 cases including 11 cases with stage Ⅰand 2 cases with stage Ⅱ in the control group , and were 4 cases with stage Ⅰin the observation group, and the difference was statistically significant (χ2 =5.874, P<0.05).The time of dressing exchange in the location of facial compression was (72.53 ±6.48) h in the observation group, and was longer than (24.36 ±5.78) h in the control group, and the difference was statistically significant (t=37.214, P<0.01).Conclusions Quanyutuo can significantly reduce the incidence of the facial pressure sores in severe acute pancreatitis patients with noninvasive ventilation .