三种固定方式在预防PICC导管性压疮中的效果比较

The comparison of the effect of 3 different fixation methods in preventing the pressure ulcers of PICC

目的:探讨预防PICC导管性压疮的方法。方法:195例患者随机分为对照组、观察1组、观察2组,每周维护一次(前后误差±1天)。对照组采用普通固定方式,观察1组采用无菌纱布垫在导管固定连接器与皮肤接触位置,观察2组采用免缝胶带R1547"Ω"固定法固定导管固定连接器与皮肤接触位置,相互观察对照,比较三组导管性压疮的发生率。结果:三组之间两两比较,差异有统计学意义(P<0.05),导管性压疮发生率对照组>观察2组>观察1组。结论:使用免缝胶带R1547"Ω"固定法优于其他两组,能有效预防PICC导管性压疮的发生,建议选用。

Objective：Explain the method to prevent pressure ulcers of PICC.Method：95 patients of our department and PICC outpatient service were randomly divided as control group,observation group 1,observation group 2,maintain once every week（error ±1 day）. The control group uses the normal fixation method,the observation group 1 uses the sterile gauze between the catheter linker and the skin,the observation group 2 uses the＂Ω＂fixed method of without seam tape R1547 to fix the catheter linker and the skin,to observe and compare the percentage of the pressure sores of the 3 groups. Results： To compare each two groups of the 3 groups,there was significant differences（P0.05）,the percentage of the pressure sores was control groupobservation group 2observation group 1.Conclusion： To use the＂Ω＂fixed method of without seam tape R1547 was better than the other two groups,and could effectively prevent the occurrence of the PICC catheter sexual pressure sores,and it is recommended to use this method.