摘要
目的通过比较两种皮肤消毒剂使用的不同效果,探求幼儿留置针穿刺的最佳皮肤消毒剂。方法选取2月龄～3岁患儿,按留置先后顺序随机抽取500例(静脉留置1次为1例),根据随机数字表将患儿分为观察组和对照组;两组患儿使用留置针、透明敷贴相同,分别为BD 24G安全型留置针、3M透明敷贴;观察组使用2%葡萄糖酸盐氯己定(CHG)进行皮肤消毒,对照组使用复合碘进行皮肤消毒。结果观察组与对照组两组静脉留置患儿使用不同消毒剂消毒皮肤后相关数据比较,平均消毒待干时间观察组(14.64±1.31)s对照组(58.93±4.82)s(P<0.01);一次穿刺成功率观察组为88.4%、对照组为81.6%,差异有统计学意义(P<0.05);透明敷料松动率观察组为7.2%、对照组为25.6%,差异有统计学意义(P<0.01);穿刺部位发红率观察组为1.6%、对照组为4.8%,差异有统计学意义(P<0.05)。结论 2%葡萄糖酸盐氯己定能有效用于儿童临床留置针穿刺皮肤消毒,它具有消毒待干时间短、一次穿刺成功率高、引起透明敷料松动及穿刺部位发红较少等优点,值得在儿童静脉留置消毒中推广。
OBJECTIVE To compare the effects of two kinds of skin disinfectants so as to explore the best skin disinfectants for the indwelling catheter of the children. METHODS The children aged from 2 months to 3 years old were recruited, and 500 cases were randomly extracted according to the order of indwelling catheterization and were divided into the observation group and the control group according to the table of random number; the two groups of children used the same indwelling needle and transparent applicators, which were 24 G safe indwelling needle of BD and the transparent applicator of 3 M. The skin disinfection of the observation group was carried out by using 2% chlorhexidine gluconate （CHG）, while the control group was treated with compound iodine. RESULTS As compared with the related statistics between the observation group and the control group after using different skin disinfectants, the average disinfection stay dry time of the observation group was （14.64 ±1.31 ） seconds, the control group （58. 93±4.82） seconds, （P〈 0.01） ; the success rate of the first time puncture was 88.4%, the control group 81.6% , the difference was statistically significant （P〈0.05） ; the loose rate of the transparent dressing of the observation group was 7.2 %, the control group 25.6 %, the difference was statistical- ly significant （P〈0.01） ; the redness rate of the infusion site was 1.60% in the observation group and 4.8% in the control group , the difference was statistically significant （P〈0.05）. CONCLUSION 2% chlorhexidine gluconate can be effectively used for the skin disinfection of clinical catheter indwelling of the children, with the disinfection stay dry time short, the success rate of the first time puncture high, the rate of loose transparent dressing low, and the redness rate of the puncture site low, it is worthy to be promoted in the hospital.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第12期2938-2939,2944,共3页
Chinese Journal of Nosocomiology
基金
浙江省护理科学院研究项目(2012-B010)
关键词
氯己定
静脉留置
儿童
消毒
Chlorhexidine
Venous indwelling
Children
Disinfection
