思乐扣在经颈内静脉置入的中心静脉导管固定中的应用

The Application of Stalock in the Fixation of Central Venous Catheterization

目的:观察思乐扣联合3M透明敷贴在经颈内静脉置入的中心静脉导管(Central venous catheter,CVC)固定中的临床应用效果。方法:238例肿瘤患者随机分为对照组和观察组。对照组118例采用3M透明敷贴及三根胶布固定经颈内静脉置入的中心静脉导管,观察组120例采用思乐扣联合3M透明敷贴固定经颈内静脉置入的中心静脉导管,比较两组患者留置期间导管固定的牢固性、发生接触性皮炎、换药频次、患者舒适度以及导管相关性感染的情况。结果:观察组患者发生导管脱出、接触性皮炎和导管相关性感染的发生率均低于对照组(P<0.01),观察组患者舒适度高于对照组(P<0.05),观察组平均换药次数低于对照组(P<0.05)。结论:思乐扣联合3M透明敷贴固定经颈内静脉置入的中心静脉导管有利于预防导管移位和脱出、降低接触性皮炎和导管相关性感染的发生率,也降低了因导管敷料松脱增加换药的次数,提高患者的舒适度。

objective：To evaluate the application efficacy of Stalock in the fixation of central venous catheter in-stalled through internal jugular vein. Methods：Totally 238 cancer patients were randomly divided into two groups：the ex-periment group（n=120）and the control group（n=118）. Stalock was applied for fixation in the experiment group, the conventional suture was applied in the control group. The firmness, contact dermatitis, switching frequency, patient comfort and catheter related infections were compared between the two groups. Results：The incidence of the central venous cathe-ter falling off, abnormal skin complications of the experiment group, and the catheter related infection were significantly lower than those of the control group（P〈0. 01）, the comfort and satisfaction level of the experiment group were higher than those of the control group（P〈0. 05）,the dressing frequency of experiment group was lower than that of the control group with significant difference （P〈0. 05）. Conclusion：Stalock combined with 3M transparent patches to fix CVC is advanta-geous to the prevention of catheter displacement and falling off, as well as to reduce the incidence of contact dermatitis and catheter related infections. It can also reduce the switching frequency and improve patients’ comfort level.