永久起搏器植入术后伤口加压固定装置的设计与临床应用

Design and clinical application of compression and fixation device for wound after permanent pacemaker implantation

目的设计永久起搏器植入术后伤口加压固定装置，以达到既能保证压迫止血效果，又能降低护理人员劳动强度，提高患者舒适度的效果。方法选用棉布、魔术贴和按扣，设计制作伤口加压固定装置。选择60例永久起搏器植入术后患者，按照随机数字表法随机分为观察组和对照组各30例，分别使用该固定装置和传统加压固定方法，比较2组患者的术后并发症、皮肤过敏和伤口护理的工时。结果观察组患者皮肤过敏例数和护士观察伤口耗费的护理工时分别为0例、（14．30±1．97）min，对照组分别为3例、（54．93±5．00）min，差异有统计学意义（x2=4．29，t=41．35，P〈0．05或0．01）。2组患者术后并发症差异无统计学意义（P〉0．05）。结论使用该起搏器伤口加压固定装置减少了护士的工作量，提高了患者的舒适度，未增加术后并发症。

Objective To evaluate effects of design of compression and fixation device for wound after permanent pacemaker implantation on compression hemostasis, working intensity of nursing staff and patients＇ comfort. Methods Cotton cloth, Velcro tape and snap-fastener were used to design a compression and fixation device for wound after permanent pacemaker implantation. Sixty patients after permanent pacemaker implantation were randomly divided into compression and fixation device group （observation group）, and traditional compression group （control group）. In addition, the effects of postoperative complications, allergy to medical tape and working intensity of nursing staff for caring wound were evaluated. Results Comparing to the control group, there were significantly lower incidence rate of skin allergy （P〈0.05） and shorter working hours needed for nursing staff to care wound （P〈0.05）.The complications of two groups have no significant differences （P〉0.05）. Conclusions This design of compression for wound after permanent pacemaker implantation is able to decrease working intensity of nursing staff, improve patients＇ comfort and show no effects on increasing postoperative complications.