CAJ | 학술논문

目的：探讨改良颈内静脉留置导管固定方法的临床效果。方法选取2014年6月～2015年1月行心脏瓣膜手术患者60例，术中均经右侧颈内静脉置入中心静脉导管。采用随机方法将患者分为对照组和观察组各30例。其中对照组采用型号为1624W的3 M透明敷贴用传统固定方法，观察组采用型号为9546HP的3 M透明敷贴，并将导管末端的分叉支架用3 M加压固定胶带向上固定于同侧耳垂，比较两组固定效果及中心静脉置管局部感染发生情况。结果观察组固定有效27例，高于对照组的20例；观察组患者局部感染发生率3.33%低于对照组20%，两组比较差异有统计学意义（P<0.05）。结论改良颈内静脉留置导管固定方法具有较高的安全有效性，能降低局部的感染率。
목적：탐토개량경내정맥류치도관고정방법적림상효과。방법선취2014년6월～2015년1월행심장판막수술환자60례，술중균경우측경내정맥치입중심정맥도관。채용수궤방법장환자분위대조조화관찰조각30례。기중대조조채용형호위1624W적3 M투명부첩용전통고정방법，관찰조채용형호위9546HP적3 M투명부첩，병장도관말단적분차지가용3 M가압고정효대향상고정우동측이수，비교량조고정효과급중심정맥치관국부감염발생정황。결과관찰조고정유효27례，고우대조조적20례；관찰조환자국부감염발생솔3.33%저우대조조20%，량조비교차이유통계학의의（P<0.05）。결론개량경내정맥류치도관고정방법구유교고적안전유효성，능강저국부적감염솔。
Objective To investigate the clinical effect of modified internal jugular vein indweling catheter fixation.MethodsFrom June 2014 to January 2015 for 60 cases of heart valve surgery patients,in the surgery,the right internal jugular vein inserted central venous catheter. The patients were randomly divided into control group and observation group(30 cases). Where in the control group with the 3M of 1624W transparent dressing with traditional fixed method,the observation group with 9546HP 3M transparent dressing. Compared two fixed effects and central venous catheter infection cases localy.ResultsThere were 27 cases with fixed effective in observation group,20 cases of the control group. The observation group were 3.33% of local infection rate was less than 20% in the control group,the difference was significant(P< 0.05).Conclusion Modified catheter fixation for jugular vein catheter has a high safety and effectiveness,and reduce local infection rates.