3M加压固定带在CVC导管固定中的应用  

Application of the 3M elastic cloth adhesive tape application for fixation of the CVC catheter

作　　者：赵洁[1] 周敏[2] 郭佳华[1] 方向红[3] 李淑娟[4] 杨衬[5] 

机构地区：[1]深圳市福田区人民医院外科二区,518033 [2]深圳市福田区人民医院康复科,518033 [3]深圳市福田区人民医院颅脑外科,518033 [4]深圳市福田区人民医院神经内科,518033 [5]深圳市福田区人民医院护理部,518033

出　　处：《中华现代护理杂志》2015年第14期1726-1728,共3页Chinese Journal of Modern Nursing

摘　　要：目的：观察3M加压固定带在CVC导管固定中的应用效果。方法选取2013年1—6月住院术后留取双腔CVC导管的患者60例为常规组,采用常规3M透明贴膜进行导管固定；选取2013年7—12月住院术后留取双腔CVC导管的患者62例为试验组,采用常规3M透明贴膜进行固定导管后,加用3M加压固定带固定贴膜未能覆盖的导管部分。比较两组患者导管移位率、打折率、贴膜卷边率及贴膜更换频率。结果试验组患者固定CVC导管的移位率、打折率、导管贴膜卷边率及更换频率分别为6%,6%,8%,8%,显著低于常规组的42%,33%,52%,42%,差异均有统计学意义（χ^2值分别为20.87,13.94,27.87,18.57；P〈0.01）。结论试验组固定CVC导管的方法优于常规组,固定效果好,具有临床意义。Objective To investigate the effect of the fixation of CVC catheter via the 3M elastic cloth adhesive tape. Methods As for the control group, 60 patients with double cavity CVC catheterwereselected from January to June, 2013. They used the 3M Tegaderm TM transparent film regularly to fix the CVC catheter. As for the experimental group,62 patients with double cavity CVC catheter were selected from July to December, 2013. They were treated with the 3M Tegaderm TM transparent film to fix the CVC catheter, and then used the 3M elastic cloth adhesive tape to fix the uncovered tube of the CVC catheter. The rates of catheter displacement, catheter occlusion, transparent film hemming, transparent film renewal were compared. Results The rates of catheter displacement, catheter occlusion, transparent film hemming, transparent film renewal were 6%, 6%, 8%, 8% of theexperimental group, which were significantly lower than 42%, 33%, 52%, 42% of the control group （χ^2 =20. 87, 13. 94, 27. 87, 18. 57, respectively;P〈0. 01）. Conclusions The fixation method of experimental group is superior to the control group, and it has better effect on fixation of the CVC catheter, which has a great clinical significance.

关 键 词：加压固定带 CVC导管 固定 

分 类 号：R472[医药卫生—护理学]