符建芳 余红

【摘 要】目的 探究早期護理干预对慢性阻塞性肺疾病无创正压通气患者鼻面部褥疮的预防效果。方法 选取2021年6月-2022年12月于我院接受无创正压通气治疗的56例慢性阻塞性肺疾病患者为研究对象，随机分为常规组与研究组，各28例。常规组行基础护理，对照组行早期护理干预，比较两组肺功能指标、不良反应发生率以及鼻面部褥疮发生率。结果 两组护理后FEV1、FVC及FEV1/FVC指标均优于护理前，且研究组优于常规组（P<0.05）；研究组不良反应发生率为3.57%，低于常规组的17.85%（P<0.05）；研究组鼻面部褥疮发生率3.57%，低于常规组的14.29%（P<0.05）。结论 早期护理干预对慢性阻塞性肺疾病无创正压通气患者鼻面部褥疮的预防效果更加确切，同时能够降低不良反应发生率，应用价值更高。

【关键词】无创正压通气治疗；慢性阻塞性肺疾病；早期护理干预；面部褥疮

中图分类号：R473 文献标识码：A 文章编号：1004-4949（2023）08-0132-03

Preventive Effect of Early Nursing Intervention on nasal and facial bedsore in Patients with Chronic Obstructive Pulmonary Disease Undergoing Non-invasive Positive Pressure Ventilation

FU Jian-fang，YU Hong

（Nursing Department of Caoqiao Health Center， Xueyan Town， Wujin District， Changzhou 213171， Jiangsu， China）

【Abstract】Objective To explore the preventive effect of early nursing intervention on nasal and facial bedsore in patients with chronic obstructive pulmonary disease undergoing non-invasive positive pressure ventilation. Methods A total of 56 patients with chronic obstructive pulmonary disease who received non-invasive positive pressure ventilation in our hospital from June 2021 to December 2022 were selected as the research objects. They were randomly divided into conventional group and study group， with 28 patients in each group. The conventional group received basic nursing， and the control group received early nursing intervention. The pulmonary function indexes， incidence of adverse reactions， incidence of nasal and facial bedsores were compared between the two groups. Results The FEV1， FVC and FEV1/FVC indexes of the two groups after nursing were better than those before nursing， and the study group was better than that of the conventional group （P<0.05）. The incidence of adverse reactions in the study group was 3.57%， which was lower than 17.85% in the conventional group （P<0.05）. The incidence of nasal and facial bedsore in the study group was 3.57%， which was lower than 14.28% in the conventional group （P<0.05）. Conclusion Early nursing intervention has a more accurate preventive effect on nasal and facial pressure ulcers in patients with chronic obstructive pulmonary disease undergoing non-invasive positive pressure ventilation， and can reduce the incidence of adverse reactions， with higher application value.

【Key words】Non-invasive positive pressure ventilation treatment； Chronic obstructive pulmonary disease； Early nursing intervention； Facial bedsore

慢性阻塞性肺疾病（chronic obstructive pulmonary disease）在临床较为常见，多发于60周岁以上的老年人[1]。临床主要通过无创正压通气疗法对患者进行辅助呼吸，以达到缓解病情的治疗效果。无创正压通气疗法在临床中应用较为广泛，具有操作灵活、创伤性小等优势[2]。但在慢性阻塞性肺疾病进行无创正压通气治疗期间，由于呼吸机与患者面部相连主要依靠面罩、鼻罩，此过程极有可能导致患者鼻面部长时间受压，且患者鼻面部在重力、潮湿环境等多种因素的影响下，皮肤极易出现红肿、灼烧感等不良反应，严重时可能引起鼻面部褥疮[3]，而在行无创正压通气治疗的过程中，临床发现对患者采用调控头带松紧度、正确护理面罩以及知识教育等干预手法，不仅能够降低患者面部的受压力度，同时能够有效避免鼻面部褥疮的发生。……