思乐扣在颅脑肿瘤患者颈内静脉置管外固定中的应用  

Effect of using StatLock in fasten the catheters of central vena in internal jugular vein puncture

作　　者：江静敏[1] 王莉[1] 谢晓清[1] 王国蓉[2] 

机构地区：[1]四川省肿瘤医院神经外科,成都610041 [2]四川省肿瘤医院护理部,成都610041

出　　处：《中华现代护理杂志》2012年第25期3062-3064,共3页Chinese Journal of Modern Nursing

摘　　要：目的观察应用思乐扣装置联合3M透明敷贴固定超声引导下经颈内静脉穿刺中心静脉置管（CVC）的效果。方法选择2012年3—5月四川省肿瘤医院神经外科收治的109例颅脑肿瘤患者术后行CVC患者，采用随机数字表法分为观察组（52例）和对照组（57例）。对照组常规采用3M透明敷贴固定CVC导管，观察组采用思乐扣固定装置联合3M透明敷贴固定CVC，比较两组患者CVC脱出率、穿刺点周围皮肤不良反应发生率及护理舒适度。结果观察组患者CVC脱出率（7．69％）和穿刺点周围皮肤不良反应发生率（1．92％）均低于对照组（28．07％，15．79％），两组比较差异有统计学意义（X2分别为7．54，4．72；P〈0．05），观察组患者护理舒适度（94．23％）高于对照组（78．95％），两组比较，差异有统计学意义（X2=5．53，P〈0．05）。结论采用思乐扣固定装置联合3M透明敷贴固定CVC，脱出率低，能降低患者置管期间穿刺点周围皮肤不良反应，提高患者舒适度。Objective To investigate the application of StatLock and 3M films to fasten the catheters of central vena （CVC） in internal jugular vein puncture with ultrasonic guidance. Methods 109 brain cancer patients underwent CVC between March and May 2012 in the department of neurosurgery were randomly divided into the observation group （52 patients） and control group （57 patients）. The catheters in the control group were fastened with 3M films. The observation group was fatened with both StatLock and 3M films. Then comparison was made between these two groups by dislocation of the catheters, adverse reactions around the puncture site and comfortable degree in care. Results The incidence of CVC dislocation and adverse reactions around the puncture site in the observation group were lower than the control group （7.69% and 1.92% vs 28.07% and 15.79, X2 = 7.54 and 4.72, respevtively; P 〈 0.05 ）. The comfort degree in care of the observation group was higher than that of the control group （94.23% and 78.95%, X2 =5.53,P 〈0.05）. Conclusions The application of StatLock and 3M films to fasten the catheters lowers the dislocation rate of CVC and the incidence of adverse reaction around the puncture site. It raises patients＇ comfort degree.

关 键 词：颅脑肿瘤 经颈内静脉穿刺中心静脉置管 3M透明敷贴 思乐扣 固定 

分 类 号：R472[医药卫生—护理学]