CAJ | 학술논문

目的：探讨不同换药方法在腹膜透析患者导管出口处感染的临床研究。方法将68例腹膜透析导管出口处感染的患者随机分为观察组和对照组，各34例。观察组以0.1%安尔碘消毒导管口外周，0.9%生理盐水清洗导管口，再予爱康肤银填塞导管口后覆盖3 M敷料，1次/d；对照组以传统方法：0.1%安尔碘消毒导管口外周，0.9%氯化钠注射液清洗导管口后予3%过氧化氢清洗后再用0.9%氯化钠注射液清洗，再予庆大霉素注射液8万U加0.9%氯化钠注射液2 mL湿敷10 min后覆盖3 M伤口敷料，2次/d。结果观察组所需治疗时间及换药次数明显优于对照组，差异均有统计学意义（P<0.05）。结论爱康肤银离子敷料用于腹膜透析患者导管出口处感染的效果好，能有效缩短治疗时间及减少换药次数。
목적：탐토불동환약방법재복막투석환자도관출구처감염적림상연구。방법장68례복막투석도관출구처감염적환자수궤분위관찰조화대조조，각34례。관찰조이0.1%안이전소독도관구외주，0.9%생리염수청세도관구，재여애강부은전새도관구후복개3 M부료，1차/d；대조조이전통방법：0.1%안이전소독도관구외주，0.9%록화납주사액청세도관구후여3%과양화경청세후재용0.9%록화납주사액청세，재여경대매소주사액8만U가0.9%록화납주사액2 mL습부10 min후복개3 M상구부료，2차/d。결과관찰조소수치료시간급환약차수명현우우대조조，차이균유통계학의의（P<0.05）。결론애강부은리자부료용우복막투석환자도관출구처감염적효과호，능유효축단치료시간급감소환약차수。
Objective To study the effective nursing methods of peritoneal dialysis-related exit site infection. Methods 68 patients with peritoneal dialysis-related exit site infection were randomly and equally divided into observation group (n=34) and control group (n=34). Ai kang fu Ag+dressings suffed catheter and then 3 M dressings covered the exit site after 0.1%Anerdian and 0.9%saline disinfected catheter around the mouth, once a day,which were applied to the experimental group;the control group used the traditional method of dressing,Gentamicin injection 80000 U and saline 2 mL wet 10 minutes after 0.1%Anerdian and 0.9%saline disinfected catheter around the mouth, then 3%hydrogen peroxide cleaned it, 0.1%Anerdian and 0.9%saline disinfected catheter around the mouth agian, then 0.9%saline cleaned the catheter port,twice a day. Results The length of treatment and dressing times in the observation group was signiifcantly superior to the control group, the difference was statistically signiifcant. Conclusion Ai kang fu Ag+dressings for nursing of peritoneal dialysis-related exit site infection can reduce the length of treatment and dressing times,deserving the clinical expansion.