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自主研发的固定装置对防止内内管管道输入相关压力损伤的影响:一项随机对照试验
Xiaodong Zhang1, Qibing Zhang1, Jiqin You2
1Nanjing Lishui People's Hospital, Zhongda Hospital Lishui Branch, Southeast University, Nanjing, 211200, China.
Critical care (London, England)
|March 20, 2024
概括
与传统方法相比,一种新的内管固定装置在机械通风患者中显著减少了与内管接管相关的内管压力损伤 (EIRPI),特别是唇部压力损伤.
科学领域:
- 医疗器械 医疗器械
- 关键护理医学 关键护理医学
- 患者安全 患者安全
背景情况:
- 内管道输入对于机械通风至关重要,但可能导致压力损伤.
- 传统的固定方法可能会导致内内腔输管相关的压力损伤 (EIRPI).
研究的目的:
- 为了评估一种新型,自主开发的内管固定装置的有效性.
- 在机械通风患者中,将新设备与传统设备之间的EIRPI发生率进行比较.
主要方法:
- 进行了一项双中心随机对照试验.
- 需要机械通风超过48小时的患者被分配到自主开发的设备 (观察组) 或传统设备 (对照组) 中.
- 测量的主要结果是内内管管道相关压力损伤 (EIRPI) 的发生率.
主要成果:
- 观察组 (n=51) 与对照组 (n=54) (33.3%,p=0.001) 相比,显示了明显较低的EIRPI发病率 (7.8%).
- 观察组的0名患者出现了唇压损伤,对照组的14名患者 (25.9%) (p<0.001).
- 在两组之间,口腔粘膜和面部压力损伤是可比的.
结论:
- 这种新型的内管固定装置有效地减少了EIRPI,特别是唇压伤.
- 这项创新提高了机械通风期间的患者安全.
- 这项研究被注册为ChiCTR2300078132.2.
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