Risk factors of nasal injury in children with non-invasive ventilation
无创通气患儿鼻损伤发生的危险因素探究

摘要

目的 对临床上无创通气患儿鼻损伤发生的相关危险因素进行探讨。方法 选取我院重症监护室100例新生儿患儿开展抽样调查（2018年1月-2022年8月），针对入选患儿利用开展问卷调查，本次调查中主要使用的是自制调查表、新生儿皮肤评估量表作为调查工具，详细调查了新生儿重症监护室无创通气患儿鼻损伤发生的危险因素。结果 通过调查发现，新生儿重症监护室患儿有27%的几率会在无创通气过程中出现鼻损伤；根据Logistic 回归 分析发现，新生儿重症监护室患儿鼻损伤发生高危因素主要有出生胎龄不足28周、体重不足1000g、无创通气时间超过10d、面部水肿、暖箱湿度超过65%等。结论 新生儿重症监护室患儿会因无创通气时间长、面部水肿、暖箱湿度、体重、出生胎龄等出现鼻损伤症状，因此，针对无创通气患儿医护人员要对上述几种鼻损伤高危因素给予高度关注，针对患儿具体状况指定相应的预防措施，以此来避免患儿出现鼻损伤。

Abstract

Objective To investigate the risk factors of nasal injury in children with noninvasive ventilation.
Methods 100 neonates in the intensive care unit of our hospital were selected to carry out a sampling survey (January 2018 to August 2022). A questionnaire survey was conducted for the selected neonates. The self-made questionnaire and neonatal skin assessment scale were mainly used as the survey tools in this survey, and the risk factors of nasal injury in children with non-invasive ventilation in the neonatal intensive care unit were investigated in detail.
Results Through the investigation, it was found that there was a 27% chance that the children in NICU would suffer from nose injury during non-invasive ventilation; According to the Logistic regression analysis, the high-risk factors of nasal injury in children in NICU mainly include less than 28 weeks of gestation, less than 1000g of weight, more than 10 days of non-invasive ventilation, facial edema, and more than 65% of humidity in the incubator.
Conclusion   Children in the neonatal intensive care unit may have nasal injury symptoms due to long time of non-invasive ventilation, facial edema, humidity in the warm box, weight, gestational age, etc. Therefore, medical staff for children with non-invasive ventilation should pay close attention to the above several high-risk factors of nasal injury, and designate corresponding preventive measures according to the specific conditions of children, so as to avoid nasal injury in children.