摘要
目的 探索腹膜透析导管出口处早期的有效处理方法.方法 将60例腹膜透析患者随机分为观察组和对照组各30例,观察组腹膜透析导管出口处用碘伏及生理盐水消毒清洗后再用美国3M公司生产的10 cm×10 cm伤口敷料覆盖,对照组腹膜透析导管出口处按以往传统的做法,用碘伏及生理盐水消毒清洗后再用6cm×8cm的4层无菌纱布包扎,比较两组病人腹腔感染、皮肤瘙痒、出口处红肿发生情况.结果 观察组26例无症状,1例出口处红肿,3例皮肤瘙痒;对照组无症状8例,出口处红肿10例,皮肤瘙痒11例,1例腹腔感染,两组病人效果的比较,差异有统计学意义.结论 腹膜透析导管出口处早期用碘伏及生理盐水消毒清洗后再用美国3M公司生产的10cm×10 cm伤口敷料覆盖,这种方法既方便又舒适,且利于导管固定,易学,深受病人的好评.
Objective To explore some effective early nursing methods for the catheter outlet of peritoneal dialysis.Methods 60 patients undergoing peritoneal dialysis were randomly divided into a research group (30 cases) and a control group (30 cases).The catheter outlet of the research group was covered with wound dressing (10 cm × 10 cm,3M) after being disinfected with iodophor and normal saline,while the catheter outlet of the control group was traditionally covered with sterile gauze after being disinfected with iodophor and normal saline.The incidence of abdominal infection,skin itching,and inflamed redness were compared between the 2 groups.Results 26 cases had no sign or symptom of exposure,one case got inflamed redness around the outlet,and 3 cases underwent skin itching in the research group.However,only 8 cases had no sign or symptom of exposure,10 cases got inflamed redness around the outlet,11 cases had skin itching,one case got abdominal infection.There was statistical difference in the efficacy between the 2 groups.Conclusions That the catheter outlet of peritoneal dialysis is covered with wound dressing (10 cm × 10 cm,3M) after being disinfected with iodophor and normal saline is easy to learn and helpful for fasting the catheter,can bring convenience,comfort,and satisfaction to the patients,and is thought highly by the patients.
出处
《国际医药卫生导报》
2013年第19期3040-3043,共4页
International Medicine and Health Guidance News
