两种方法处理留置针拔除后创口的效果比较  

Effect of two different ways for treating the wounds after removal of superficial venous catheter

作　　者：降英[1] 徐安芬[1] 

机构地区：[1]泸州医学院附属医院消化内科,646000

出　　处：《中华现代护理杂志》2011年第29期3564-3565,共2页Chinese Journal of Modern Nursing

摘　　要：目的探讨浅静脉留置针拔针后穿刺点创口及皮肤红肿的处理方法，以促进创口愈合、皮肤红肿消退，减少感染、减轻患者痛苦。方法将100例浅静脉留置针拔针后穿刺点皮肤创口及周围皮肤红肿的患者，随机分成对照组与观察组各50例，对照组用碘伏常规消毒创口及周围皮肤，待干后用无菌纱布覆盖；观察组在对照组的基础上，消毒皮肤后在红肿创口处覆盖一块无菌碘伏棉片，再覆盖无菌纱布。对比观察两组红肿转归、创口愈合情况及患者自觉症状。结果对照组总治愈率为80％，观察组总治愈率为98％，两组比较差异有统计学意义（X^2=18．6，P〈0．05）；对照组平均治愈时间（4．50±1．28）d，观察组平均治愈时间（3．26±0．99）d，两组比较差异有统计学意义（江4．62，P〈0．05）。结论常规消毒皮肤后在红肿创口处覆盖一块无菌碘伏棉片，对静脉留置针拔针后创口愈合及皮肤红肿消退效果良好，值得在临床推广使用。Objective To investigate the treatments for the wounds on the point of puncture and red swollen skin after removal of superficial venous catheter so as to promote wound healing, subside the redness and swelling of the skin, reduce infection and patients＇ suffering. Methods 100 patients who had wounds on the points of puncture and red swollen skin after removal of superficial venous catheters were randomly divided into control group （n = 50） and experimental group （n = 50 ）. In the control group, the wounds on the points of puncture and the swollen skin were disinfected routinely, then covered with the sterile dressings for 24 - 72 hours after the surrounding skin was dry. Besides the treatment of the control group, the swollen wounds in the experimental group were covered with a sterile iodophor pad after disinfected routinely, then covered with the sterile dressings. Subsidence rate of the swollen skin, healing rate of the wounds, and patients＇ subjective symptoms in both groups were observed and then compared. Results The total healing rate for the control group and the experimental group were 80%, 98% , respectively（ X^2 = 18.6, P 〈 0. 05 ）, and there was statistical significance between them; healing duration for the control group and the experimental group was （4.50±1.28 ） days, （3.26±0. 99 ） days, respectively, and there was statistical significance between them （ t = 4. 62, P 〈 0. 05）. Conclusions Covering the red swollen skin after removal of superficial venous catheters following the routine sterilization with a sterile iodophor pad could promote subsidence of the red and swollen skin ; therefore it is worthy of clinical application.

关 键 词：静脉留置针 创口 愈合 红肿 

分 类 号：R472[医药卫生—护理学]