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目的观察自制血液透析临时导管固定扣在临时静脉置管中的临床应用效果。方法以2014年10月至2015年3月收治的临时颈静脉置管血液透析患者68例为研究对象,采用随机数字法分为对照组和观察组,每组各34例。对照组患者采用传统方法固定导管外露部分,观察组采用自制导管固定扣固定。比较观察两组患者的换药次数、局部感染发生率、缝线脱落发生率以及患者舒适度。结果观察组患者换药次数少于对照组[(6.62±2.59)次vs(8.47±2.65)次,P<0.01];局部感染发生率(2.9%vs 23.5%,P<0.05)、缝线脱落发生率(0 vs20.6%,P<0.01)低于对照组;观察组患者舒适、较舒适及不舒适分别为21例(61.8%)、11例(32.4%)和2例(5.9%),对照组患者舒适、较舒适及不舒适分别为3例(8.8%)、15例(44.1%)和16例(47.1%),观察组患者舒适度显著优于对照组(P<0.05)。结论自制血液透析临时导管固定扣可有效降低导管局部感染、导管缝线脱落发生率,提高患者舒适度,同时减轻了护理工作量。
Objective To observe the clinical effect of self-made hemodialysis temporary catheter fixation in temporary venous catheterization. Methods 68 cases of temporary jugular catheter hemodialysis admitted from October 2014 to March 2015 were divided into control group and observation group with 34 cases in each group. The control group of patients using the traditional method of fixed catheter exposed part of the observation group using self-catheter fixed buckle fixed. The number of dressing changes, the incidence of local infection, the incidence of suture detachment and patient comfort were compared between the two groups. Results The number of dressing change in the observation group was less than that in the control group [(6.62 ± 2.59) vs (8.47 ± 2.65), P <0.01]; the incidence of local infection was 2.9% vs 23.5% (P <0.05) (0 vs 20.6%, P <0.01) were lower than those in the control group. The comfort, comfort and discomfort in the observation group were 21 (61.8%), 11 (32.4%) and 2 (5.9% The comfort, comfort and discomfort of the control group were 3 cases (8.8%), 15 cases (44.1%) and 16 cases (47.1%) respectively. The comfort of the observation group was significantly better than that of the control group (P <0.05). Conclusion Self-made hemodialysis temporary catheter fixation buckle can effectively reduce the local catheter infection, the incidence of catheter slippage, improve patient comfort, and reduce the workload of nursing.