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口腔外科中鼻尖部压疮的危险因素

Risk Factors for Pressure Ulcers at the Ala of Nose in Oral Surgery.

作者信息

Tsukamoto Masanori, Kobayashi Miwa, Yokoyama Takeshi

机构信息

Department of Dental Anesthesiology, Kyushu University Hospital, Fukuoka, Japan.

Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.

出版信息

Anesth Prog. 2017 Summer;64(2):104-105. doi: 10.2344/anpr-64-02-11.

DOI:10.2344/anpr-64-02-11
PMID:28604091
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5467752/
Abstract

A quality review revealed pressure ulcers at the ala of nose in 16 cases (2.2%) over 3 years. We therefore retrospectively investigated the risk factors for alar pressure ulcers from nasal tubes. Male gender was the highest risk factor (odds ratio = 9.1411; 95% confidence interval = 1.680-170.58), and the second highest risk factor was duration of anesthesia (odds ratio = 1.0048/min of anesthesia; 95% confidence interval = 1.0034-1.0065). Male gender and duration of anesthesia appear to be risk factors for nasal tube pressure ulcers at the ala of nose in patients.

摘要

一项质量评估显示,在3年期间有16例(2.2%)患者在鼻翼处出现了压疮。因此,我们回顾性调查了鼻饲管导致鼻翼压疮的危险因素。男性是最高风险因素(比值比=9.1411;95%置信区间=1.680-170.58),第二高风险因素是麻醉持续时间(比值比=每麻醉1分钟为1.0048;95%置信区间=1.0034-1.0065)。男性和麻醉持续时间似乎是患者鼻翼处鼻饲管压疮的危险因素。

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引用本文的文献

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本文引用的文献

1
Incidence and predicted risk factors of pressure ulcers in surgical patients: experience at a medical center in Taipei, Taiwan.外科患者压疮的发生率及预测危险因素:台湾台北一家医学中心的经验
Biomed Res Int. 2014;2014:416896. doi: 10.1155/2014/416896. Epub 2014 Jun 26.
2
Use of a hydrocolloid dressing to prevent nasal pressure sores after nasotracheal intubation.使用水胶体敷料预防经鼻气管插管后鼻压疮
Br J Oral Maxillofac Surg. 2011 Oct;49(7):e65-6. doi: 10.1016/j.bjoms.2011.01.016. Epub 2011 Feb 18.
3
Using a modified nasotracheal tube to prevent nasal ala pressure sore during prolonged nasotracheal intubation.使用改良型经鼻气管导管预防长时间经鼻气管插管导致的鼻翼压疮。
J Anesth. 2010 Dec;24(6):959-61. doi: 10.1007/s00540-010-1009-z. Epub 2010 Sep 1.
4
Preventing pressure sores of the nasal ala after nasotracheal tube intubation: from animal model to clinical application.预防经鼻气管插管后鼻翼压疮:从动物模型到临床应用
J Oral Maxillofac Surg. 2009 Mar;67(3):543-51. doi: 10.1016/j.joms.2008.06.100.
5
Nasotracheal intubation for head and neck surgery.用于头颈外科手术的鼻气管插管
Anaesthesia. 2003 Mar;58(3):249-56. doi: 10.1046/j.1365-2044.2003.03034.x.