美皮康对危重患者中心静脉置管术后皮肤不良反应及静脉炎的预防效果研究  

Effect of Mepilex on postoperative skin reactions and phlebitis for peripherally inserted central catheter in critical patients

作　　者：马小芳[1] 杨春霞[1] 汪蓉[1] 邓春艳[1] Ma Xiaofang Yang Chunxia Wang Rong Deng Chunyan.(Department of Intensive Care Unit, Taihe Hospital of Shiyan City（Affiliated to Hubei University of Medicine）, Shiyan 442000, Chin)

机构地区：[1]湖北省十堰市太和医院(湖北医药学院附属医院)重症医学科,442000

出　　处：《中国实用护理杂志》2017年第2期137-139,共3页Chinese Journal of Practical Nursing

摘　　要：目的 比较2种不同敷料对危重患者进行PICC后皮肤不良反应及静脉炎的预防效果。 方法 将313例PICC患者采用随机数字表法分为对照组157例和观察组156例。置管后，对照组采用PICC包内透明敷贴固定保护导管，观察组采用美皮康敷料固定保护导管。2组均行导管常规护理，连续观察2周。比较2组患者治疗过程中不良反应发生率，运用视觉模拟量表（VAS）比较皮肤瘙痒程度。 结果 对照组局部过敏性皮炎、感染和机械性静脉炎发生率分别为24.20%（38/157）、10.83%（17/157）、18.47%（29/157），观察组分别为7.69%（12/156）、4.49%（7/156）、3.21%（5/156），2组比较差异有统计学意义（χ2=13.99、4.44、18.83，P〈0.01或0.05）。对照组治疗2周皮肤瘙痒VAS评分为（4.84 ± 1.29）分，观察组为（3.15 ± 1.82）分，2组比较差异有统计学意义（t=8.66，P〈0.01）。 结论 PICC后采用美皮康敷料能有效降低患者局部皮肤不良反应率，增加患者舒适度，值得临床推广运用。Objective To compare the clinical effect of two different kinds of wound dressing on postoperative skin reactions and phlebitis for PICC in critical patients. Methods A total of 313 PICC critical patients were divided into control group （157 cases） and treatment group （156 cases） by random digits table method. After PICC, the control group was attached to transparent dressing, the experimental group was attached to Mepilex, all of the patients were received routine nursing. The incidences of adverse effect, and the degree of local skin pruritus by Visual Analogue Scale（VAS） were compared in two weeks. Results The incidence of skin allergy, infection, and mechanical phlebitis were 24.20%（38/157）, 10.83%（17/157）, 18.47% （29/157） in control group and 7.69% （12/156）,4.49% （7/156）, 3.21% （5/156） in treatment group, and there were significant differences between two groups （χ2=13.99, 4.44, 18.83, P〈 0.01 or 〈 0.05）. The score of VAS in control group and treatment group were （4.84±1.29） points and （3.15±1.82） points respectively, and the difference was statistically significant （t=8.66, P 〈 0.01）.Conclusions Application of Mepilex for PICC in critical patients can decrease the incidences of adverse effect, and increase the degree of comfort. It is worth utilizing widely in the clinic.

关 键 词：危重病 导管插入术 中心静脉 美皮康 不良反应 

分 类 号：R472.2[医药卫生—急诊医学]