医用防水型透明敷料联合无纺布胶带在唇腭裂术中的应用  

Application of medical waterproof film combined with non-woven tape fixed endotracheal tube in cleft lip/palate surgery

作　　者：李燕爽 彭菲 张迪[1] 张洁[1] 王珊珊[1] 王艳萍[1] Li Yanshuang;Peng Fei;Zhang Di;Zhang Jie;Wang Shanshan;Wang Yanping(Department of Anesthesiology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院麻醉科,450052

出　　处：《中国实用护理杂志》2020年第8期609-612,共4页Chinese Journal of Practical Nursing

摘　　要：目的 探讨医用防水型透明敷料联合无纺布胶带气管插管固定在唇腭裂手术中的应用效果。方法 选取郑州大学第一附属医院2018年7—12月腭裂、唇裂采用加强气管导管的手术患儿72例,采用随机数字表法分为对照组(缝针丝线固定法)和试验组(医用防水型透明敷料联合无纺布固定气管导管),每组36例。比较2组在导管固定时间、术中导管固定的情况、术后导管相关并发症之间的差异。结果 试验组的导管固定时间、外科医生满意度评分、穿刺创伤、穿刺部位出血分别为(1.15±0.63)min、(4.50±0.56)分、0例、0例,对照组分别为(2.36±0.56)min、(3.83±1.13)分、36例、6例,2组比较差异有统计学意义(t值为0.000、14.435,χ^2值为72.000、6.545,P<0.01或0.05)。手术时间、术中血氧饱和度、导管固定方向、术后瘢痕发生率与对照组相比差异无统计学意义(P>0.05)。结论 医用防水型透明敷料联合无纺布胶带固定气管插管可明显缩短术前气管插管的固定时间,提高外科医生满意度,同时可有效预防患儿唇腭裂术因缝针丝线固定所致的并发症。Objective To investigate the effect of applying waterproof film combined with non-woven tape fixation of endotracheal tube in cleft lip and palate operation.Methods From July 2018 to December 2018,72 cases of cleft palate and cleft lip were selected from the operating room of the First Affiliated Hospital of Zhengzhou University The cases were randomly divided into the control group(suture and thread fixation method)and the experimental group(medical waterproof lamination combined with non-woven cloth),with 36 cases in each group.The duration of catheter fixation,intraoperative catheter fixation and postoperative catheter-related complications were compared between the two groups.Results There were statistically significant differences between the experimental group and the control group in the duration of catheter fixation,surgeon satisfaction score and incidence of needle stab injury and needle stab bleeding:(1.15±0.63)min,(4.50±0.56),0 case,0 case in the experimental group,and those in the control group were(2.36±0.56)min,(3.83±1.13),6 cases,6 cases(t values were 0.000,14.435,χ^2 values were 72.000,6.545,P<0.01 or 0.05).Compared with the control group,there were no statistically significant differences in operation time,intraoperative oxygen saturation,catheter fixation direction,incidence of tube tearing,and incidence of postoperative scar(P>0.05)in the experimental group.Conclusions Medical waterproof film combined with non-woven tape fixed endotracheal intubation can obviously shorten the preoperative endotracheal intubation fixing time,improve the surgeon satisfaction.At the same time,it is effective in preventing postoperative complications caused by fixation with needle and silk thread.

关 键 词：加强型气管导管 唇裂 腭裂 创伤和损伤 

分 类 号：R7[医药卫生—临床医学]