CAJ | 학술논문

目的了解3M透明敷贴在胸腔闭式引流导管固定及预防拔管后伤口渗液中的作用.方法收集我科胸腔积液需行胸腔闭式引流术患者,用随机数字法将其分成3M透明敷贴组与普通敷贴组,对比两组导管脱出、敷贴松动、局部皮肤皮疹、拔管后伤口渗液情况.结果共有168例患者入选,其中3M透明敷贴组85例,普通敷贴组83例,两组患者在性别、年龄、胸腔积液性质及置管天数方面差异无统计学意义(P值均＞0.05);同时两组局部皮疹及敷贴松动发生率也无明显差别(x2值分别为1.353、1.985,P值分别为0.245、0.159);而普通敷贴组的导管脱出及拔管后伤口渗液发生率明显高于3M透明敷贴组(22.2％ vs 9.4％,x2=5.153,P=0.023;26.5％ vs 4.7％,x2=15.257,P=0.000).结论 3M透明敷贴能有效防止胸腔闭式引流管脱出及拔管后伤口渗液现象,值得在临床推广应用.
목적 료해3M투명부첩재흉강폐식인류도관고정급예방발관후상구삼액중적작용.방법 수집아과흉강적액수행흉강폐식인류술환자,용수궤수자법장기분성3M투명부첩조여보통부첩조,대비량조도관탈출、부첩송동、국부피부피진、발관후상구삼액정황.결과 공유168례환자입선,기중3M투명부첩조85례,보통부첩조83례,량조환자재성별、년령、흉강적액성질급치관천수방면차이무통계학의의(P치균＞0.05);동시량조국부피진급부첩송동발생솔야무명현차별(x2치분별위1.353、1.985,P치분별위0.245、0.159);이보통부첩조적도관탈출급발관후상구삼액발생솔명현고우3M투명부첩조(22.2％ vs 9.4％,x2=5.153,P=0.023;26.5％ vs 4.7％,x2=15.257,P=0.000).결론 3M투명부첩능유효방지흉강폐식인류관탈출급발관후상구삼액현상,치득재림상추엄응용.
Objective To evaluate the efficiency of 3M transparent dressing on preventing the drop of closed thoracic catheter from pleural cavity and wound exudate.Methods Pleural effusion patients who underwent closed thoracic drainage were divided to 3M transparent dressing group and paper tape dressing group randomly.The frequencies of catheter drop,loose dressing,skin rash and wound exudate were observed.Results A total of 168 patients were enrolled,85 in 3M transparent dressing group and 83 in paper tape dressing group.There were no differences in sex,age,characteristic of pleural effusion,and catheter days between two groups (all P ＞0.05) ;skin rash and loose dressing were also similar between groups.However,the incidences of catheter drop and wound exudate were significantly higher among paper tape dressing group than 3M transparent dressing group (22.2％ vs 9.4％,26.5％ vs 4.7％,all P ＜ 0.05).Conclusions 3M transparent dressing can prevent catheter drop and wound exudate among pleural effusion patients undertaking closed thoracic drainage.