中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
25期
3062-3064
,共3页
江静敏%王莉%谢晓清%王国蓉
江靜敏%王莉%謝曉清%王國蓉
강정민%왕리%사효청%왕국용
颅脑肿瘤%经颈内静脉穿刺中心静脉置管%3M透明敷贴%思乐扣%固定
顱腦腫瘤%經頸內靜脈穿刺中心靜脈置管%3M透明敷貼%思樂釦%固定
로뇌종류%경경내정맥천자중심정맥치관%3M투명부첩%사악구%고정
Cerebral tumor%CVC%3M films%StatLock%Fasten
目的 观察应用思乐扣装置联合3M透明敷贴固定超声引导下经颈内静脉穿刺中心静脉置管(CVC)的效果.方法 选择2012年3-5月四川省肿瘤医院神经外科收治的109例颅脑肿瘤患者术后行CVC患者,采用随机数字表法分为观察组(52例)和对照组(57例).对照组常规采用3M透明敷贴固定CVC导管,观察组采用思乐扣固定装置联合3M透明敷贴固定CVC,比较两组患者CVC脱出率、穿刺点周围皮肤不良反应发生率及护理舒适度.结果 观察组患者CVC脱出率(7.69％)和穿刺点周围皮肤不良反应发生率(1.92％)均低于对照组(28.07％,15.79％),两组比较差异有统计学意义(x2分别为7.54,4.72;P ＜0.05),观察组患者护理舒适度(94.23％)高于对照组(78.95％),两组比较,差异有统计学意义(x2=5.53,P ＜0.05).结论 采用思乐扣固定装置联合3M透明敷贴固定CVC,脱出率低,能降低患者置管期间穿刺点周围皮肤不良反应,提高患者舒适度.
目的 觀察應用思樂釦裝置聯閤3M透明敷貼固定超聲引導下經頸內靜脈穿刺中心靜脈置管(CVC)的效果.方法 選擇2012年3-5月四川省腫瘤醫院神經外科收治的109例顱腦腫瘤患者術後行CVC患者,採用隨機數字錶法分為觀察組(52例)和對照組(57例).對照組常規採用3M透明敷貼固定CVC導管,觀察組採用思樂釦固定裝置聯閤3M透明敷貼固定CVC,比較兩組患者CVC脫齣率、穿刺點週圍皮膚不良反應髮生率及護理舒適度.結果 觀察組患者CVC脫齣率(7.69％)和穿刺點週圍皮膚不良反應髮生率(1.92％)均低于對照組(28.07％,15.79％),兩組比較差異有統計學意義(x2分彆為7.54,4.72;P ＜0.05),觀察組患者護理舒適度(94.23％)高于對照組(78.95％),兩組比較,差異有統計學意義(x2=5.53,P ＜0.05).結論 採用思樂釦固定裝置聯閤3M透明敷貼固定CVC,脫齣率低,能降低患者置管期間穿刺點週圍皮膚不良反應,提高患者舒適度.
목적 관찰응용사악구장치연합3M투명부첩고정초성인도하경경내정맥천자중심정맥치관(CVC)적효과.방법 선택2012년3-5월사천성종류의원신경외과수치적109례로뇌종류환자술후행CVC환자,채용수궤수자표법분위관찰조(52례)화대조조(57례).대조조상규채용3M투명부첩고정CVC도관,관찰조채용사악구고정장치연합3M투명부첩고정CVC,비교량조환자CVC탈출솔、천자점주위피부불량반응발생솔급호리서괄도.결과 관찰조환자CVC탈출솔(7.69％)화천자점주위피부불량반응발생솔(1.92％)균저우대조조(28.07％,15.79％),량조비교차이유통계학의의(x2분별위7.54,4.72;P ＜0.05),관찰조환자호리서괄도(94.23％)고우대조조(78.95％),량조비교,차이유통계학의의(x2=5.53,P ＜0.05).결론 채용사악구고정장치연합3M투명부첩고정CVC,탈출솔저,능강저환자치관기간천자점주위피부불량반응,제고환자서괄도.
Objective To investigate the application of StatLock and 3M films to fasten the catheters of central vena (CVC) in internal jugular vein puncture with ultrasonic guidance.Methods 109 brain cancer patients underwent CVC between March and May 2012 in the department of neurosurgery were randomly divided into the observation group (52 patients) and control group (57 patients).The catheters in the control group were fastened with 3M films.The observation group was fatened with both StatLock and 3M films.Then comparison was made between these two groups by dislocation of the catheters,adverse reactions around the puncture site and comfortable degree in care.Results The incidence of CVC dislocation and adverse reactions around the puncture site in the observation group were lower than the control group (7.69％ and 1.92％ vs 28.07％ and 15.79,x2 =7.54 and 4.72,respevtively; P ＜ 0.05).The comfort degree in care of the observation group was higher than that of the control group (94.23％ and 78.95％,x2 =5.53,P ＜0.05).Conclusions The application of StatLock and 3M films to fasten the catheters lowers the dislocation rate of CVC and the incidence of adverse reaction around the puncture site.It raises patients' comfort degree.
