创面液体粘合敷料用于桡动脉穿刺处伤口的效果观察

[目的]：观察创面液体粘合敷料用于桡动脉穿刺处伤口的临床效果.为促进伤口愈合、减轻患者疼痛,临床需要提供参考.[方法]：选取2015年01月—06月心血管内科经桡动脉行PCI术后的患者180例,排除术后伤口有血肿的患者,随机分为两组,观察组90例穿刺处伤口采用创面液体粘合敷料,对比组90例伤口采用传统敷料,比较两组患者的使用不同敷料护理后伤口止痛起效时间、患者伤口疼痛程度、愈合程度以及术后2日内护士更换伤口敷料的次数.[结果]：两组患者伤口经过不同敷料护理后相比较,两组疼痛缓解时间分别是31.1＋13.3minVS112.2＋25.2min,观察组较传统对照组疼痛缓解时间快,差异有统计学意义.对比观察在术后两组使用的第1小时、2小时、6小时和12小时疼痛程度,发现使用创面液体粘合敷料后在第1小时、2小时疼痛程度较对照组轻（P〈0.05）,而在第6小时和第12小时之后无明显差异（P〉0.05）.2日内更换伤口敷料次数比较,实验组1.1＋0.2次、对比组1.2＋0.5次,两组比较差异有统计学意义.两组伤口愈合程度比较无明显差异（P〉0.05）.[结论]：观察组与对比组比较,观察组止痛起效平均时间快、患者主观疼痛程度轻、护士2日内更换伤口敷料次数少,因此,创面液体粘合敷料用于桡动脉穿刺处伤口的作用优于传统敷料,它可促进伤口愈合、减轻患者伤口疼痛程度、减少护士更换伤口敷料的次数、减少护理工作量,使用方便,安全.

Objective To observe the clinical effect of wound liquid adhesive dressing in the wound of radial artery puncture. To provide a method for the wound healing and pain relief for patients. Methods 180 patients with the radial arterial puncture for PCI from the cardiac department from 2015 Jan to Jun, were randomized to two groups, as wound liquid adhesive dressing group and traditional dressing group, except for hematoma after operation. The effect of the two groups were compared for the wound pain relief, the degree of wound pain, the degree of wound healing and the number of nurses changing dressings in 2 days after operation. Results The time of pain relief were 31.1＋13.3min VS 112.2＋25.2min, respective （P〈0.05）. On the first and second hour, the pain degree of the wound liquid adhesive dressing group was lower than the traditional group （P〈0.05）, without significant difference on the sixth and twelfth hour （P〉0.05）. The number of wound dressings change were 1.1＋0.2 VS 1.2＋0.5 with significant difference （P〈0.05）. There were no significant difference in wound healing between the two groups （P〉0.05）. Conclusions The average time of the onset of pain relief was more fast for the wound liquid adhesive dressing group, the degree of pain was lower, the number of wound dressings change was more less than the traditional group. The wound liquid adhesive dressing group could promote wound healing, reduce the wound pain, reduce the number of nurses change wound dressing, reduce the workload of nursing. So the wound liquid adhesive dressing group was more convenient and safe.