不同护理方法对小儿神经外科长时间手术压疮的预防效果

目的对比小儿神经外科手术(手术时间长于6h)中几种主要护理方式的护理效果。方法选取医院2017年3月至2018年4月收治的行小儿神经外科手术(手术时间长于6h)且年龄小于14岁的患儿386例,随机分为观察组和对照组,各193例。观察组患儿使用自制橡胶水囊进行减压护理,对照组患儿使用常用泡沫敷料贴进行护理,比较术后即刻、术后4h和术后24h的护理效果。结果术后各时点观察组Ⅰ度压疮发生率均明显低于对照组(P<0.05)。结论超过6h的小儿神经外科手术,使用自制橡胶水囊进行减压护理后,患儿的皮肤压力得以缓解,可减少压疮发生。

Objective To compare the nursing effects of several main nursing methods in pediatric neurosurgery(longer than 6 h). Methods A total of 386 children who underwent operation in the pediatric neurosurgery (operation time longer than 6 h) and younger than 14 years old were selected from March 2017 to April 2018.They were randomly divided into observation group and control group,193 cases in each group.Different pressure sore nursing methods were adopted respectively.Among them,the observation group was given self-made rubber water bag for decompression nursing,while the control group was treated with foam dressing.Nursing care was performed immediately after operation,4 h after operation and 24 h after operation.Results The incidence of Ⅰ degree pressure ulcer in the observation group was significantly lower than that in the control group(P<0.05). Conclusion After more than 6 h of pediatric neurosurgery and decompression nursing with self-made rubber water bag,the skin pressure of children can be relieved and the incidence of pressure ulcer can be reduced.