水胶体敷料在心外科留置颈内静脉导管患者护理中的应用

Application of hydrocolloid dressings in internal jugular vein catheter nursing in cardiac surgery

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。

Objective To investigate the role of hydrocolloid dressing in nursing care for internal jugular vein indwelling 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 internal 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 infection 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.