水胶体敷料在预防桡动脉置管相关压力性损伤中的应用

The Application of Hydrocolloid Dressings in the Prevention of Pressure Injury Related to Radial Artery Catheterization

目的探讨水胶体敷料在预防危重患者桡动脉置管器械相关压力性损伤中的应用效果,为临床预防压力性损伤提供依据。方法选取2021年6月—2022年6月福建省某三级甲等医院重症医学科120例需桡动脉置管并进行动脉有创血压监测的患者,采用随机数字表法分为观察组与对照组,各60例。对照组常规使用3M无菌敷贴以高举平台法固定桡动脉导管,观察组应用水胶体敷料4 cm×3 cm垫于桡动脉导管穿刺处针翼下皮肤,再常规使用3M无菌敷贴固定桡动脉导管。比较2组桡动脉置管处皮肤压力性损伤的发生率以及并发症发生情况。结果观察组患者压力性损伤发生率(3.33%)低于对照组(16.67%),差异有统计学意义(P<0.05)。观察组患者出血并发症发生率(8.33%)低于对照组(10.00%),观察组患者导管滑脱发生率(5.00%)高于对照组(3.33%),差异均无统计学意义(P>0.05)。2组患者均无导管感染发生。结论临床上危重患者应用水胶体敷料能够有效地降低桡动脉置管器械相关压力性损伤的发生。

Objective To investigate the effect of hydrocolloid dressings on the prevention of pressure injuries related to radial artery catheterization in critical patients.Methods A total of 120 patients requiring radial artery catheterization and invasive arterial blood pressure monitoring from June 2021 to June 2022 in the intensive care unit of a tertiary grade A hospital in Fujian province were selected.The patients were randomly divided into observation group and control group,with 60 cases in each group.In the control group,3M sterile dressings were routinely used to fix the radial artery catheter by the elevated platform method.In the observation group,a 4 cm×3 cm hydrocolloid dressing was applied under the skin at the puncture site of the radial artery catheter and the wing of the needle,and then the radial artery catheter was fixed with 3M sterile dressings routinely.The incidence of skin pressure injury and complications were compared between the two groups.Results The incidence of pressure injury in the observation group(3.33%)was lower than that in the control group(16.67%),and the difference was statistically significant(P<0.05).The incidence of bleeding complications in the observation group(8.33%)was lower than that in the control group(10.00%),and the incidence of catheter dislodgement in the observation group(5.00%)was higher than that in the control group(3.33%),with no statistically significant differences(P>0.05).Both groups of patients had no occurrence of catheter-related infections.Conclusion The application of hydrocolloid dressings in critically ill patients can effectively reduce the incidence of pressure injury associated with radial artery catheterization.