CAJ | 학술논문

目的探讨3M透明敷料联合液体敷料在外周中心静脉导管(PICC)置管后皮肤护理中的应用.方法选取肺癌置入PICC患者120例(观察期限均从置管当日开始至带管后3个月).采用随机数字表法分为2组,其中对照组60例,仅用3M透明敷料贴于PICC固定处皮肤;观察组60例,在使用3M透明敷料的基础上加用3M液体敷料.观察比较2组PICC固定处皮肤并发症的发生率.结果对照组PICC置管后皮肤过敏5例,静脉炎4例,皮肤破损l例,并发症合计10例,观察组分别为2、1、3例,2组并发症总的发生率比较差异有统计学意义,x2=4.23,P＜0.05.结论运用3M透明敷料联合液体敷料进行PICC置管后皮肤护理,能有效地保护PICC置管后皮肤,降低不良反应的发生率.
목적 탐토3M투명부료연합액체부료재외주중심정맥도관(PICC)치관후피부호리중적응용.방법 선취폐암치입PICC환자120례(관찰기한균종치관당일개시지대관후3개월).채용수궤수자표법분위2조,기중대조조60례,부용3M투명부료첩우PICC고정처피부;관찰조60례,재사용3M투명부료적기출상가용3M액체부료.관찰비교2조PICC고정처피부병발증적발생솔.결과 대조조PICC치관후피부과민5례,정맥염4례,피부파손l례,병발증합계10례,관찰조분별위2、1、3례,2조병발증총적발생솔비교차이유통계학의의,x2=4.23,P＜0.05.결론 운용3M투명부료연합액체부료진행PICC치관후피부호리,능유효지보호PICC치관후피부,강저불량반응적발생솔.
Objective To evaluate the skin protection of the 3M transparent dressing joint 3MTM CavilonTM No Sting Barrie Film after peripherally inserted central catheter (PICC).Methods A total of 120 PICC catheter patients with lung cancer (observation time last about 3 months from starting the rearing pipe on the day to pipe-taken) were selected.They were divided into 2 groups by random digits table method with 60 cases each.Control group was given 3M transparent dressings stick in the PICC fixed place skin.Observation group was given 3M transparent dressings paste joint 3MTM CavilonTM No Sting Barrie Film.The incidence of complications in the PICC fixed place skin were observed and compared between 2 groups.Results The skin allergy,phlebitis,skin damage,total complications were 5,4,1,10 cases in control group after PICC catheter and 2,1,3,6 cases in observation group,and there was significant difference in the incidence of the total complications,x2=4.23,P＜0.05.Conclusion Using 3M transparent dressings joint 3MTM CavilonTM No Sting Barrie Film for skin care after PICC catheter,can effectively protect the skin after PICC catheter,reduce the incidence of adverse reactions.