CAJ | 학술논문

目的：探讨水胶体敷料在心脏外科手术患者留置颈内静脉导管护理中的应用效果。方法选取2013年4~12月上海同济大学附属东方医院心外科留置颈内静脉导管患者108例，按照随机数字表法分为试验组(54例)和对照组(54例)。试验组采用安普贴薄膜，对照组采用3M透明敷料换药。观察两组颈内静脉穿刺点局部皮肤过敏率及局部感染率。结果对照组和试验组导管固定处局部感染发生率分别为9.25%、3.70%，局部皮肤过敏率分别为9.25%、0.00%，两组患者差异均有高度统计学意义(均P<0.01)。结论使用安普贴薄膜换药可降低中心静脉穿刺点局部皮肤过敏率及局部感染率，在临床值得推广应用。
목적：탐토수효체부료재심장외과수술환자류치경내정맥도관호리중적응용효과。방법선취2013년4~12월상해동제대학부속동방의원심외과류치경내정맥도관환자108례，안조수궤수자표법분위시험조(54례)화대조조(54례)。시험조채용안보첩박막，대조조채용3M투명부료환약。관찰량조경내정맥천자점국부피부과민솔급국부감염솔。결과대조조화시험조도관고정처국부감염발생솔분별위9.25%、3.70%，국부피부과민솔분별위9.25%、0.00%，량조환자차이균유고도통계학의의(균P<0.01)。결론사용안보첩박막환약가강저중심정맥천자점국부피부과민솔급국부감염솔，재림상치득추엄응용。
Objective To investigate the role of hydrocolloid dressing in nursing care for internal jugular vein in-dwelling catheter in the patients with cardiac surgical operation. Methods 108 cases of patients with internal jugular vein indwelling catheter, which performed from April to December 2013 in Department of Cardiac Surgery, Shanghai East Hospital, Tongji University School of Medicine, were randomly divided into the experimental group (54 cases) and the control group (54 cases). The experimental group was applied with a hydrocolloid dressing (Algoplaque?) to fix in-ternal jugular indwelling catheter, while the control group with a 3M transparent dressing. The catheter-related local skin allergy and infection were observed in both groups. Results The occurrence rates of catheter-related local skin in-fection in the control group and the experimental group were 9.25% and 3.70%, respectively. The occurrence rates of catheter-related local skin allergy in the control group and the experimental group were 9.25%and 0.00%, respectively. The differences on both catheter-related local skin infection and allergy rates were statistically significant between the two groups (P<0.01). Conclusion The application of a hydrocolloid dressing (Algoplaque?) can significantly reduce the occurrence rates of catheter-related local skin allergy and infection, and thus deserves the clinical expansion.