一种高流量氧疗仪鼻导管减压贴的设计与应用
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陈华，王萍，余二妹，叶晓洁
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上海市杨浦区控江医院，上海，200093
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摘要：目的 分析一种高流量氧疗仪鼻导管减压贴的设计与临床应用效果。方法 选取2024 年1 月至2024 年10 月在呼吸科行经鼻高流量鼻导管湿化氧疗的患者，1 月至5 月的50 例患者作为观察组，6 月至10 月的50 例患者作为研究组。观察组使用常规预防导管相关性皮肤损伤，研究组用高流量氧疗仪鼻导管减压贴预防导管相关性皮肤损伤；比较2 组之间导管相关性皮肤损伤发生率。结果 研究组导管相关性皮肤损伤发生率明显优于观察组P＜0.05。结论 通过设计并应用一款专用于高流量氧疗的鼻导管减压贴，切实体会到多学科融合创新在解决临床实际问题中的重要性。该减压贴从材质与结构两方面进行优化，具备高效减压、高度贴合、透气快干、便于观察、经济实用及稳固固定六大优势，不仅显著降低了鼻导管相关皮肤压力性损伤的发生率，也提升了治疗的舒适性与连续性，从而为经鼻高流量氧疗的安全有效实施提供了重要保障。
关健词：高流量氧疗；鼻导管；减压贴；压力性损伤；护理创新
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Design and Application of a Nasal Cannula Pressure-Relief Dressing for High-Flow Oxygen Therapy
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Hua Chen,Ping Wang,Ermei Yu,Xiaojie Ye
Yangpu District Kongjiang Hospital, Shanghai, 200093,China
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Abstract: Objective To analyze the design and clinical application effect of a nasal cannula pressure-relief dressing for highflow oxygen therapy. Methods Patients who received transnasal high-flow humidified oxygen therapy in the respiratory department from January 2024 to October 2024 were selected. Fifty patients from January to May were assigned to the control group, and fifty patients from June to October were assigned to the study group. The control group received conventional preventive measures for catheter-related skin injuries, while the study group used the nasal cannula pressure-relief dressing for high-flow oxygen therapy to prevent such injuries. The incidence of catheter-related skin injuries was compared between the two groups. Results The incidence of catheter-related skin injuries in the study group was significantly lower than that in the control group (P < 0.05). Conclusion The design and application of a specialized pressure-relief dressing for high-flow oxygen therapy nasal cannulas demonstrate the importance of multidisciplinary integration and innovation in addressing clinical practical issues. This dressing is optimized in terms of material and structure, offering six major advantages: effective pressure relief, high conformity, breathability and quick drying, ease of observation, cost-effectiveness, and secure fixation. It not only significantly reduces the incidence of nasal cannula-related pressure injuries but also enhances treatment comfort and continuity, thereby providing important support for the safe and effective implementation of transnasal high-flow oxygen therapy.
Keywords : high-flow oxygen therapy; nasal cannula; pressure-relief dressing; pressure injury; nursing innovation
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The author declares no conflict of interest.
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