摘要
目的:探讨水胶体敷料在口腔颌面外科长时间手术中经鼻气管插管患者术后鼻部压疮中的应用效果。方法:口腔外科120例行口腔肿瘤根治性切除+游离皮瓣修复术患者,随机分为实验组60例和对照组60例,麻醉诱导后经鼻气管插管,予胶布固定于鼻梁,实验组另予康惠尔水胶敷料贴于气管导管与鼻接触部,术前记录患者一般情况,术中记录手术持续时间,术后评价鼻部压疮分期。结果:与对照组比较,实验组压疮发生率明显降低(6.67%VS 36.67%,P<0.01),且压疮严重程度明显改善。结论:水胶敷料贴的应用可以降低鼻部压疮的发生率,能安全有效地运用于口腔颌面外科长时间手术麻醉的术中管理。
Objective： To explore the effect of hydrogel dressing for preventing and treating nasal pressure ulcers of patients with nasotracheal tube undergoing a long-term operation of oral maxillofacial surgery. Methods： 120 patients undergoing the radical resection of oral tumor and the free flap surgery, were randomized into experimental and control group（n=60）. After routine anesthesia induction, each patient received nasotracheal intubation.The tubes were fixed over the nose by the adhesive tape. In the experimental group,the hydrogel dressings were placed above the nasal skin,contacting with the tracheal tube. General condition of the patient and operating time were recorded. Nasal pressure ulcers stage was determinedafter the operation. Results： Contrasted with the experimental group, the incidence of nasal pressure ulcers inthe control group was markedly decreased（6.67% vs 36.67%, P〈0.01） and the severity of the pressure ulcers was also alleviated.Conclusion： This study indicates that the use of hydrogel dressing can decrease the incidence of nasal pressure ulcers with good clinical value.
出处
《中华老年口腔医学杂志》
2015年第4期212-214,252,共4页
Chinese Journal of Geriatric Dentistry
关键词
水胶体敷料
经鼻气管插管
口腔颌面外科手术
鼻部压疮
Hydrogel dressing
nasal tracheal intubation
oral-maxillofacial surgery
nasal pressure ulcer
作者简介
主治医师
主治医师
