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目的:观察水胶敷料预防无创正压通气(NIPPV)时面部皮肤损伤的作用。方法:88例慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)合并Ⅱ型呼吸衰竭行NIPPV治疗的患者,50例使用水胶敷料的患者作为观察组,38例未使用水胶敷料的患者作为对照组,观察组在NIPPV治疗时面部受压处皮肤贴水胶敷料,而对照组面部受压处皮肤不使用任何敷料,观察两组患者在治疗过程中面部受面罩压迫部位皮肤的损伤情况。进一步分成小于5天、5～10天和大于10天3个时间段观察。结果:观察组在进行NIPPV治疗时面部皮肤损伤的发生率和严重程度均明显低于对照组。结论:水胶敷料能够降低NIPPV治疗时的面部皮肤损伤的发生率和减轻严重程度,这一方法值得临床推广。
OBJECTIVE: To observe the effect of water-based dressings on the prevention of facial skin injury under non-invasive positive pressure ventilation (NIPPV). Methods: Eighty-eight patients with chronic obstructive pulmonary disease (COPD) and type II respiratory failure treated with NIPPV were enrolled in this study. Fifty patients with water-based dressing as observation group and 38 patients without water-based dressing as The control group and the observation group were treated with NIPPV facial skin adhesive water dressing, while the control group did not use any dressing on the face under pressure. The damage of the facial skin under the facial mask pressure during the treatment was observed. Further divided into less than 5 days, 5 to 10 days and more than 10 days 3 time period observation. Results: The incidence and severity of facial skin injury in the observation group were significantly lower than those in the control group when treated with NIPPV. Conclusion: Hydrogel dressings can reduce the incidence and severity of facial skin lesions during NIPPV treatment. This method is worthy of clinical application.