国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
19期
3040-3043
,共4页
陈宝吟%林侬君%吴肖霞%张映雪
陳寶吟%林儂君%吳肖霞%張映雪
진보음%림농군%오초하%장영설
腹膜透析%导管出口%早期%护理
腹膜透析%導管齣口%早期%護理
복막투석%도관출구%조기%호리
Peritoneal dialysis%Catheter outlet%Early stage%Nursing
目的 探索腹膜透析导管出口处早期的有效处理方法.方法 将60例腹膜透析患者随机分为观察组和对照组各30例,观察组腹膜透析导管出口处用碘伏及生理盐水消毒清洗后再用美国3M公司生产的10 cm×10 cm伤口敷料覆盖,对照组腹膜透析导管出口处按以往传统的做法,用碘伏及生理盐水消毒清洗后再用6cm×8cm的4层无菌纱布包扎,比较两组病人腹腔感染、皮肤瘙痒、出口处红肿发生情况.结果 观察组26例无症状,1例出口处红肿,3例皮肤瘙痒;对照组无症状8例,出口处红肿10例,皮肤瘙痒11例,1例腹腔感染,两组病人效果的比较,差异有统计学意义.结论 腹膜透析导管出口处早期用碘伏及生理盐水消毒清洗后再用美国3M公司生产的10cm×10 cm伤口敷料覆盖,这种方法既方便又舒适,且利于导管固定,易学,深受病人的好评.
目的 探索腹膜透析導管齣口處早期的有效處理方法.方法 將60例腹膜透析患者隨機分為觀察組和對照組各30例,觀察組腹膜透析導管齣口處用碘伏及生理鹽水消毒清洗後再用美國3M公司生產的10 cm×10 cm傷口敷料覆蓋,對照組腹膜透析導管齣口處按以往傳統的做法,用碘伏及生理鹽水消毒清洗後再用6cm×8cm的4層無菌紗佈包扎,比較兩組病人腹腔感染、皮膚瘙癢、齣口處紅腫髮生情況.結果 觀察組26例無癥狀,1例齣口處紅腫,3例皮膚瘙癢;對照組無癥狀8例,齣口處紅腫10例,皮膚瘙癢11例,1例腹腔感染,兩組病人效果的比較,差異有統計學意義.結論 腹膜透析導管齣口處早期用碘伏及生理鹽水消毒清洗後再用美國3M公司生產的10cm×10 cm傷口敷料覆蓋,這種方法既方便又舒適,且利于導管固定,易學,深受病人的好評.
목적 탐색복막투석도관출구처조기적유효처리방법.방법 장60례복막투석환자수궤분위관찰조화대조조각30례,관찰조복막투석도관출구처용전복급생리염수소독청세후재용미국3M공사생산적10 cm×10 cm상구부료복개,대조조복막투석도관출구처안이왕전통적주법,용전복급생리염수소독청세후재용6cm×8cm적4층무균사포포찰,비교량조병인복강감염、피부소양、출구처홍종발생정황.결과 관찰조26례무증상,1례출구처홍종,3례피부소양;대조조무증상8례,출구처홍종10례,피부소양11례,1례복강감염,량조병인효과적비교,차이유통계학의의.결론 복막투석도관출구처조기용전복급생리염수소독청세후재용미국3M공사생산적10cm×10 cm상구부료복개,저충방법기방편우서괄,차리우도관고정,역학,심수병인적호평.
Objective To explore some effective early nursing methods for the catheter outlet of peritoneal dialysis.Methods 60 patients undergoing peritoneal dialysis were randomly divided into a research group (30 cases) and a control group (30 cases).The catheter outlet of the research group was covered with wound dressing (10 cm × 10 cm,3M) after being disinfected with iodophor and normal saline,while the catheter outlet of the control group was traditionally covered with sterile gauze after being disinfected with iodophor and normal saline.The incidence of abdominal infection,skin itching,and inflamed redness were compared between the 2 groups.Results 26 cases had no sign or symptom of exposure,one case got inflamed redness around the outlet,and 3 cases underwent skin itching in the research group.However,only 8 cases had no sign or symptom of exposure,10 cases got inflamed redness around the outlet,11 cases had skin itching,one case got abdominal infection.There was statistical difference in the efficacy between the 2 groups.Conclusions That the catheter outlet of peritoneal dialysis is covered with wound dressing (10 cm × 10 cm,3M) after being disinfected with iodophor and normal saline is easy to learn and helpful for fasting the catheter,can bring convenience,comfort,and satisfaction to the patients,and is thought highly by the patients.
