Risk factors analysis of facial medical adhesive related skin damage in patients undergoing tracheal intubation
气管插管患者面部医用黏胶相关性皮肤损伤的危险因素分析

摘要

目的 分析气管插管患者使用丝绸布胶带固定发生医用黏胶相关性皮肤损伤（MARSI）的危险因素， 为预防 MARSI 提供参考和依据。方法 收集 2020 年 1 月至 2021 年 4 月在某三甲医院 RICU 行气管插管的 214 例 患者临床资料，统计 MARSI 发生比例，依据 MARSI 发生情况分为 MARSI 组和非 MARSI。结果 两组患者合并 休克、低蛋白血症、凝血功能障碍、腹泻及贫血比较，差异均有统计学意义（P＜0.05）。结论早期关注、及时 干预，以期降低 MARSI 发生率。

Abstract

Objective To analyze the risk factors of medical adhesive related skin injury (MARSI) in patients undergoing tracheal intubation using silk tape fixation, and to provide reference and basis for the prevention of MARSI. Method Clinical data of 214 patients who underwent tracheal intubation at a tertiary hospital RICU from January 2020 to April 2021 were collected, and the incidence rate of MARSI was calculated. According to the incidence of MARSI, patients were divided into MARSI group and non MARSI group. The results showed that there were statistically significant differences between the two groups of patients with comorbidities such as shock, hypoproteinemia, coagulation dysfunction, diarrhea, and anemia (P<0.05).
Conclusion   Early attention and timely intervention are necessary to reduce the incidence of MARSI.