経鼻気管挿管チューブ固定に伴う鼻孔周囲圧迫創傷予防に対するポリウレタンフォームと白色ワセリンの比較検討

• 資料種別: 記事
• タイトル: 経鼻気管挿管チューブ固定に伴う鼻孔周囲圧迫創傷予防に対するポリウレタンフォームと白色ワセリンの比較検討
• 著者・編者: 吉本 裕代; 斉藤 魁聖; 藤田 尚正; 郷 賢治; 山根 麗子; 大桶 華子; 照光 真
• 著者標目: 吉本 裕代; 斉藤 魁聖; 藤田 尚正; 郷 賢治; 山根 麗子; 大桶 華子; 照光 真
• 並列タイトル等: Comparison of Polyurethane Foam versus White Vaseline to Prevent Nasal Pressure Injury Associated with Nasotracheal Intubation Tube Fixation
• タイトル（掲載誌）: 北海道医療大学歯学雑誌 = The dental journal of Health Sciences University of Hokkaido / 北海道医療大学歯学会 編
• 巻号年月日等（掲載誌）: 44(2):2025.12
• 掲載巻: 44
• 掲載号: 2
• 掲載ページ: 127-134
• 掲載年月日（W3CDTF）: 2025-12
• ISSN（掲載誌）: 1880-5892
• ISSN-L（掲載誌）: 1880-5892
• 出版事項（掲載誌）: 当別町 (北海道) : 北海道医療大学歯学会
• 出版地（国名コード）: JP
• 本文の言語コード: jpn
• 件名標目: Nasotracheal Intubation; Nasal Pressure Injury; Polyurethane Foam; White Vaseline
• NDLC: ZS44
• 対象利用者: 一般
• 所蔵機関: 国立国会図書館
• 請求記号: Z19-1642
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館雑誌記事索引; https://ndlsearch.ndl.go.jp
• 書誌ID（NDLBibID）: 034609807; http://id.ndl.go.jp/bib/034609807
• 整理区分コード: 632

• 要約等: Objective : To compare the effectiveness of polyurethane foam and white Vaseline to prevent nasal pressure injuries during nasotracheal intubation. Methods : Forty−two patients who underwent general anesthesia with nasotracheal intubation for oral and maxillofacial surgery or dental treatment were randomly assigned to receive nasal alar rim protection with either polyurethane foam or white Vaseline. Skin discoloration around the intubated nostril was assessed immediately after surgery and the following morning. The estimated elliptical area of discolored skin was calculated from the major and minor axes. Multiple regression analysis was performed to evaluate the effects of protective dressing type, sex, anesthesia duration, and postoperative nasal airway placement on the discolored area. Results : The skin discoloration area was significantly larger in the white Vaseline group than that in the polyurethane foam group on Day 0. However, significantly smaller discoloration areas and a significantly lower incidence of skin color changes were observed in the white Vaseline group on Day 1. Multivariate analysis indicated that nasal protection with white Vaseline significantly increased the discoloration area size on Day 0. Conclusion : The incidence of skin discoloration the morning after surgery tended to be lower in the white Vaseline group versus the polyurethane foam group. Although the white Vaseline group showed extensive discoloration areas that were presumed to be reactive hyperemia immediately after surgery, these areas decreased to a similar size as that in the polyurethane foam group by the next day.
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（URI）: https://hsuh.repo.nii.ac.jp/records/2000616; http://id.ndl.go.jp/bib/034609807; https://ndlsearch.ndl.go.jp/books/R000000004-I034609807
• 連携機関・データベース: 国立情報学研究所 : CiNii Research; https://cir.nii.ac.jp/
• 提供元機関・データベース: 学術機関リポジトリデータベース; https://irdb.nii.ac.jp; 雑誌記事索引データベース; https://ndlsearch.ndl.go.jp
• 書誌ID（NDLBibID）: 034609807; http://id.ndl.go.jp/bib/034609807