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目的探讨水胶体透明敷料在胸腔积液置管引流术后护理中的应用效果。方法选取2015年2月至2017年2月该科收治的行中心静脉导管胸腔置管引流术的胸腔积液患者125例。将其按随机数字表法分为观察组(62例)和对照组(63例)。观察组患者使用水胶体透明敷料固定引流管,覆盖保护穿刺点皮肤,对照组使用缝线固定引流管,用3M灭菌透明膜覆盖保护穿刺点皮肤。比较分析两组患者平均带管时间、额外换药、局部感染及皮疹、脱管发生率情况。结果两组患者平均带管时间、脱管发生率比较,差异均无统计学意义(P>0.05);观察组额外换药、局部感染、皮疹发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论水胶体透明敷料可以替代缝线固定中心静脉导管,更好地保护穿刺部位皮肤,降低皮损发生率。
Objective To investigate the application effect of hydrocolloid transparent dressing in nursing after pleural fluid drainage and drainage. Methods From February 2015 to February 2017, 125 patients with pleural effusion undergoing central venous catheter thoracic drainage were enrolled in this department. The random number table divided into observation group (62 cases) and control group (63 cases). Patients in the observation group were treated with hydrocolloid transparent dressing to fix the drainage tube, cover the protective puncture point skin, and the control group was fixed with a suture drainage tube. The protective puncture point skin was covered with 3M sterile transparent film. Comparative analysis of two groups of patients with the average tube time, additional dressing, local infection and rash, the incidence of detached. Results There was no significant difference between the two groups in the average duration of catheterization and in the incidence of debridement (P> 0.05). The rates of additional dressing change, local infection and rash in the observation group were significantly lower than those in the control group Significance (P <0.05). Conclusion The hydrocolloid transparent dressing can replace suture fixation of the central venous catheter to better protect the skin at the puncture site and reduce the incidence of skin lesions.