摘要
目的了解正颌外科手术患者经鼻气管插管相关鼻翼压力性损伤的危险因素。方法采用病例对照研究设计,选取发生鼻翼压力性损伤的正颌外科手术患者29例作为病例组,匹配未发生压力伤的患者58例作为对照组,查阅患者病历资料,回顾性分析可能导致鼻翼压力性损伤发生的因素。结果气管插管保留时间(OR=1.87,P=0.004)和ASA分级(OR=16.09,P=0.001)是可能导致鼻翼压力性损伤的危险因素。结论围手术期护理人员应加强对正颌外科手术患者全身状况的评估,对气管插管保留时间长患者加强观察与干预,降低鼻翼压力性损伤的发生率。
Objective To investigate the risk factors of pressure injury of the nasal ala in patients with nasotracheal intubation after orthognathic surgery. Methods A matched case control study was conducted. Twenty nine patients with nasal ala pressure injury induced by nasotracheal intubation after orthognathic surgery were served as the case group and 58 patients without nasal ala pres- sure injury as the control group. Then patientst medical records were reviewed to identify risk factors of nasal ala pressure injury. Results Multivariate logistic regression analysis showed that intubation length（OR=1.87, P=0. 004） and ASA grade（OR- 16.09, P=0. 001 ） were risk factors of nasal ala pressure injury. Conclusion Nursing staff should strengthen assessment of physical condi- tion of patients undergoing orthognathic surgery and provide intensive observation and intervention to those with longer intubation duration, thus to reduce incidence of nasal ala pressure injury.
出处
《护理学杂志》
CSCD
2017年第22期44-47,共4页
Journal of Nursing Science
基金
北京大学口腔医院临床新技术新疗法重点项目(PKUSSNCT-16A15)
