CAJ | 학술논문

目的：研究水凝胶敷料用于持续无创正压通气患者眼部的应用效果。方法选择持续使用无创呼吸机辅助通气治疗的呼吸衰竭患者47例，按随机数字表法将患者随机分为试验组（ n＝22）和对照组（ n＝25）。对照组给予常规护理，试验组在此基础上，使用无创通气时即给予眼部敷贴水凝胶敷料，观察两组患者的临床护理效果。结果使用无创通气后第7天，试验组患者眼部舒适度评分为（76．91±3．02）分，对照组为（72．56±2．86）分，差异有统计学意义（t＝5．067，P＜0．01）；试验组患者发生异物感3例、眼睑肿胀1例，对照组分别为11，9例，差异均有统计学意义（χ2值分别为5．159，5．162；P＜0．05）。结论持续无创呼吸机辅助通气患者在治疗期间敷贴水凝胶敷料可增加患者舒适度、减少眼部不适等症状的发生。
목적：연구수응효부료용우지속무창정압통기환자안부적응용효과。방법선택지속사용무창호흡궤보조통기치료적호흡쇠갈환자47례，안수궤수자표법장환자수궤분위시험조（ n＝22）화대조조（ n＝25）。대조조급여상규호리，시험조재차기출상，사용무창통기시즉급여안부부첩수응효부료，관찰량조환자적림상호리효과。결과사용무창통기후제7천，시험조환자안부서괄도평분위（76．91±3．02）분，대조조위（72．56±2．86）분，차이유통계학의의（t＝5．067，P＜0．01）；시험조환자발생이물감3례、안검종창1례，대조조분별위11，9례，차이균유통계학의의（χ2치분별위5．159，5．162；P＜0．05）。결론지속무창호흡궤보조통기환자재치료기간부첩수응효부료가증가환자서괄도、감소안부불괄등증상적발생。
Objective To observe the effects of hydrogel dressing on ocular in patients with continuous non-invasive positive pressure ventilation .Methods A total of 47 patients with continuous noninvasive ventilation were divided into observation group ( n =22 ) and control group ( n =25 ) randomly .Patients in observation group were putting the hydrogel dressing on ocular when using non -invasive ventilation , while control group received normal nursing .Then,clinical effects were observed and compared .Results The comfort level scores of observation group was significantly higher than that of control group at 7 days after using non-invasive positive pressure ventilation [(76.91 ±3.02) vs(72.56 ±2.86); t =5.067,P<0.01)].The number of patients with foreign body sensation (3 vs 11) and ocular dryness (1 vs 9) in observation group was significantly lower than that in control group (χ2 =5.159,5.162,respectively;P <0.05).Conclusions Putting the hydrogel dressing on ocular of patients with non-invasive ventilation may increase patient′s comfort and reduce the incidence of ocular discomfort .