心脏外科手术患儿术中压疮预防保护策略  

Preventive protection strategy of intraoperative pressure sores during pediatric cardial surgery

作　　者：侯琳[1] 董瑶[1] 林多茂[1] 许斌[1] 宋玲[1] 高瑞雪[1] 

机构地区：[1]北京首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所手术室,100029

出　　处：《心肺血管病杂志》2016年第1期52-54,共3页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的：运用水胶体贴膜保护和一次性骨棉保护两种干预方法,预防心脏外科手术患儿术中压疮的效果探讨。方法：按计算机产生随机数,将200例患儿分为贴膜组及骨棉组各100例。贴膜组使用水胶体贴膜保护皮肤进行压疮预防,骨棉组使用一次性骨棉保护皮肤进行压疮预防,比较两种方法预防术中压疮的效果及差异。结果：贴膜组术中压疮发生率为3%（3/100）,骨棉组术中压疮发生率为1%（1/100）,两组比较差异无统计学意义（χ~2=1.02,P〉0.05）。结论：两种方法预防先天性心脏病手术患儿术中压疮效果显著,虽无明显差异,但在使用方法上各有其利弊,护理人员应根据不同情况选择。Objective： To explore the preventive protective effects of hydrocolloid wound dressing and disposable bone cotton in the incidence of intraoperative pressure sores during pediatric cardiac surgery. Methods： Two hundred participants were randomly and evenly divided into a hydrocolloid wound dressing or a disposable bone cotton group. We adopted hydrocolloid wound dressing or disposable bone cotton to prevent the incidence of the intraoperative pressure sores of skin respectively. On the end of the study,we compared the preventive protective effects and differences in the two groups. Results： The results showed that the incidence of intraoperative pressure sore was 3%（ 3 /100） in hydrocolloid wound dressing group and 1%（ 1 /100） in disposable bone cotton group respectively. There was no significant difference in the two groups χ~2= 1. 02,（ Ρ 〉0. 05）. Conclusion： There were significantly effects to prevent the incidence of intraoperative pressure sores of pediatric cardiac surgery in the two groups. There was no obvious difference,but each method has its advantages and disadvantages. We should select appropriate method according to situations.

关 键 词：先天性心脏病 护理 婴幼儿 术中压疮 水胶体贴膜 

分 类 号：R54[医药卫生—心血管疾病]