CAJ | 학술논문

目的：探讨水胶体敷料结合3M 透明敷贴“三明治”式固定早产儿PICC导管的临床应用效果。方法选择150例PICC置管的早产儿为研究对象，按入院顺序随机分为观察组和对照组各75例。观察组采用水胶体敷料结合3M透明敷贴“三明治”式固定PICC导管，对照组采用3M 透明敷贴常规固定 PICC导管。比较两组PICC留置的时间及穿刺周围局部皮肤情况（包括皮肤机械性损伤、过敏性皮炎、静脉炎及局部皮肤压疮等）。结果观察组PICC留置的时间明显长于对照组（ P＜0．05）；两组皮肤机械性损伤、过敏性皮炎、静脉炎及局部皮肤压疮等情况的比较，观察组均低于对照组，各指标组间比较差异均有统计学意义（P＜0．05）。结论水胶体敷料结合3M透明敷贴“三明治”式固定早产儿PICC导管，不仅能妥善固定 PICC导管，而且还能保护局部皮肤，避免局部机械性损伤、过敏性皮炎及皮肤压疮等情况的发生，还可以预防或减轻PICC置管后静脉炎的发生，延长置管时间。
목적：탐토수효체부료결합3M 투명부첩“삼명치”식고정조산인PICC도관적림상응용효과。방법선택150례PICC치관적조산인위연구대상，안입원순서수궤분위관찰조화대조조각75례。관찰조채용수효체부료결합3M투명부첩“삼명치”식고정PICC도관，대조조채용3M 투명부첩상규고정 PICC도관。비교량조PICC류치적시간급천자주위국부피부정황（포괄피부궤계성손상、과민성피염、정맥염급국부피부압창등）。결과관찰조PICC류치적시간명현장우대조조（ P＜0．05）；량조피부궤계성손상、과민성피염、정맥염급국부피부압창등정황적비교，관찰조균저우대조조，각지표조간비교차이균유통계학의의（P＜0．05）。결론수효체부료결합3M투명부첩“삼명치”식고정조산인PICC도관，불부능타선고정 PICC도관，이차환능보호국부피부，피면국부궤계성손상、과민성피염급피부압창등정황적발생，환가이예방혹감경PICC치관후정맥염적발생，연장치관시간。
Objective To study the effect of hydrocolloid dressings combined 3M transparent dressing fixed PICC catheter of preterm .Method 150 preterm children with PICC were randomly divided into observation group and con-trol group according to the order of admission time ,75 cases in each group .Patients in observation group were used hydrocolloid dressings combine 3M transparent dressing “sandwich” fixing PICC catheter and patients in control with 3M transparent dressing ;PICC were observed retention time;surrounding skin puncture site were compared to mechanical damage ,allergic dermatitis ,skin incidence of pressure ulcers and phlebitis .Result PICC indw elling of the observation group was significantly longer than the control group (P<0 .05);two mechanical damage skin ,atopic dermatitis ,topical skin pressure ulcers and phlebitis comparison ,the observation group were lower than the control group ,the comparison between the index group differences were statistically significant (P<0 .05) .Conclusion 3M transparent dressing hydrocolloid dressing combined "sandwich" fixed preterm children PICC catheter catheter not only properly fixed ,but also to protect the local skin ,avoid mechanical damage ,allergic dermatitis and skin condi-tions such as pressure sores ,and can prevent or reduce the incidence of phlebitis after PICC catheter .