腹腔引流管不同换药方法的应用效果分析  

Effects of Different Ways of Dressing Change for Peritoneal Drainage Pipes

作　　者：刘娜[1] 曹珊[2] 师兰香[1] 佟宁[1] 庄焕芝[1] 

机构地区：[1]解放军总医院普外二病区,北京100853 [2]解放军总医院南十八病区

出　　处：《解放军护理杂志》2009年第5期77-78,共2页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨腹腔引流管的换药方法,为减少感染等并发症提供借鉴。方法将180例患者随机分为两组,实验组采用泡沫敷料换药法,对照组采用传统换药法,对两组患者并发症的发生及换药间隔时间进行统计分析。结果实验组皮肤红肿、皮疹,糜烂、引流管感染等并发症的发生率均低于对照组(P<0.05),平均换药间隔时间长于对照组(P<0.05)。结论实验组有效减少了患者皮肤及引流管感染等并发症的发生,明显减少了换药次数,减少了患者的痛苦和医护人员的工作量。泡沫敷料换药法值得在临床上推广。Objective To explore different dressing methods after abdominal surgery in patients with peritoneal drainage pipes for decreasing the clinical infection incidence. Methods One hundred and eighty patients were randomly and equally divided into two groups. The experimental group used the biatain foam dressing . The control group used the traditional method of dressing. The incidence of complications and interval time of changing dressings were statistically analyzed. Results In the experimental group, the incidences of skin irritation,tetter,anabrosis,and drainage-tube infection were lower than that in the control group （ P〈0.05）and the mean time of dressing was higher than that in the control group（ P 〈0.05）. Conclusions In the experimental group,the incidence of skin and drainage-tube infections, dressing times and patients＇ suffering and medical workers＇ workload were all significantly reduced. The method of foam dressing deserves the clinical expansion.

关 键 词：换药 腹腔引流管 泡沫敷料 皮肤感染 切口感染 

分 类 号：R472.9[医药卫生—护理学]