生理盐水与75%乙醇护理经皮骨穿针针道效果比较  

Comparison of the effects between normal saline and 75% alcohol on pin site care

作　　者：佟冰渡[1] 李杨[2] 

机构地区：[1]中国医学科学院北京协和医院骨科,北京100730 [2]中国协和医科大学护理学院

出　　处：《护理学杂志》2015年第20期34-37,共4页

摘　　要：目的评价生理盐水按需护理经皮骨穿针针道的效果,提高患者治疗舒适度。方法将220例骨科住院行经皮骨穿针外固定或骨牵引的患者按时间段分为对照组100例、观察组120例。对照组按常规护理及于针孔处每天2次外滴75%乙醇,针道口如有渗血渗液,用75%乙醇棉签消毒针道后更换纱条;观察组不予外滴药物或消毒剂,针道口如有渗血渗液,采用生理盐水清洁针道口后更换纱条。结果观察组针道感染率及针道护理时不适度显著低于对照组(均P<0.01)。结论对留置经皮骨穿针患者,采用生理盐水清除针道分泌物及按需护理,可降低针道感染率及提高患者治疗舒适度。Objective To evaluate the effects of normal saline provided based on demand for pin site care,and to promote patient comfort.Methods A total of 220 orthopedic patients undergoing external fixation or skeletal traction were divided into a control group of 100 and an observation group of 120 according to chronological order.The control group received routine pin site care which was carried out twice a day with 75% alcohol for disinfection.When the pin-site wound had drainage,75% alcohol was used as disinfectant and then gauze was changed.However,no medicine or disinfectant was used for pin site care in the observation group and saline was employed as cleaning agent when the wound had drainage,then gauze was changed after cleansing.Results The incidence of pin track infection was significantly lower and the degree of discomfort during pin site care was significantly milder in the observation group compared to the control group（P〈0.01 for both）.Conclusion The use of saline for pin site care and provision of pin site care based on demand,can effectively reduce pin track infection and enhance patient comfort.

关 键 词：骨科疾病 经皮骨穿针 外固定 骨牵引 生理盐水 75%乙醇 针道感染 护理 

分 类 号：R473.6[医药卫生—护理学]