不同换药方法在治疗腹膜透析导管出口处感染时的效果研究

目的探讨不同换药方法在腹膜透析患者导管出口处感染的临床研究。方法将68例腹膜透析导管出口处感染的患者随机分为观察组和对照组,各34例。观察组以0.1%安尔碘消毒导管口外周,0.9%生理盐水清洗导管口,再予爱康肤银填塞导管口后覆盖3 M敷料,1次/d;对照组以传统方法:0.1%安尔碘消毒导管口外周,0.9%氯化钠注射液清洗导管口后予3%过氧化氢清洗后再用0.9%氯化钠注射液清洗,再予庆大霉素注射液8万U加0.9%氯化钠注射液2 m L湿敷10 min后覆盖3 M伤口敷料,2次/d。结果观察组所需治疗时间及换药次数明显优于对照组,差异均有统计学意义(P<0.05)。结论爱康肤银离子敷料用于腹膜透析患者导管出口处感染的效果好,能有效缩短治疗时间及减少换药次数。

Objective To study the effective nursing methods of peritoneal dialysis-related exit site infection. Methods 68 patients with peritoneal dialysis-related exit site infection were randomly and equally divided into observation group （n=34） and control group （n=34）. Ai kang fu Ag＋ dressings surfed catheter and then 3 M dressings covered the exit site after 0.1% Anerdian and 0.9% saline disinfected catheter around the mouth, once a day, which were applied to the experimental group; the control group used the traditional method of dressing,Gentamicin injection 80000U and saline 2 mL wet 10 minutes after 0.1% Anerdian and 0.9% saline disinfected catheter around the mouth, then 3% hydrogen peroxide cleaned it, 0.1% Anerdian and 0.9% saline disinfected catheter around the mouth agian, then 0.9% saline cleaned the catheter port,twice a day. Results The length of treatment and dressing times in the observation group was significantly superior to the control group, the difference was statistically significant. Conclusion Ai kang fu Ag＋ dressings for nursing of peritoneal dialysis-related exit site infection can reduce the length of treatment and dressing times,deserving the clinical expansion.