新生儿中心静脉导管相关皮肤损伤的措施改进

The Improvement of the Measures for the Skin Injury in the Central Venous Catheter of the Newborn

目的旨在通过改进本科室患儿中心静脉导管维护的措施以降低中心静脉导管相关皮肤损伤的发生率。方法选取2018年5月—2019年5月住院且经上肢置中心静脉导管的患儿100例,随机分为对照组和试验组,对照组按本科室常规中心静脉导管维护流程,试验组维护流程为采用规范移除敷贴的方法,敷贴粘贴前进行皮肤保护及成立中心静脉导管维护质量控制小组,观察两组静脉导管周围皮肤浸渍、渗出,接触性皮炎,机械性损伤及穿刺点感染等的例数,计算中心静脉导管相关皮肤损伤的发生率。结果试验组中心静脉导管皮肤损伤的发生率低于对照组,差异有统计学意义(P<0.05)。结论改进后的措施可有效降低患儿中心静脉导管皮肤损伤的发生率,保证了患儿的安全。

Objective To reduce the incidence of central venous catheter related skin injury by improving the maintenance of central venous catheter in our department.Methods 100 cases of hospitalized patients with central venous catheter through upper extremity vein in the hospital from May 2018 to May 2019 were selected and randomly divided into the control group and the experiment group.The control group was given conventional catheter maintenance methods of the department,the experiment group was given the standard procedure of remove application.Skin protection was given before pasting and established the central venous catheter quality control group.Observe the skin impregnation and exudation around venous catheters,contact dermatitis,mechanical injury,infection at the puncture site between two groups.Results The incidence of central venous catheter skin injury in the experimental group was lower than that in the control group,and there was statistically significant difference in two groups(P<0.05).Conclusion The improved measures can effectively reduce the incidence of central venous catheter skin injury in newborn and ensure the safety of newborn.