银尔通抗菌液联合银尔舒抗菌凝胶在胸腔置管引流术穿刺创口相关感染中的应用  

Application of Yinertong antibacterial fluid combined with Yintshu antibacterial gel on puncture wound associated infection in pleural catheter drainage

作　　者：吴璇璇 史俪婧 苗桂玲[1] Wu Xuanxuan;Shi Lijing;Miao Guiling(Department of Respiratory,Gulou Hospital Affiliated to Medical College of Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院呼吸科,南京210008

出　　处：《中国实用护理杂志》2022年第8期568-573,共6页Chinese Journal of Practical Nursing

摘　　要：目的探讨银尔通抗菌液联合银尔舒抗菌凝胶对胸腔置管引流术穿刺创口相关感染的影响, 为临床预防胸腔置管引流术穿刺创口感染提供参考。方法将2018年1月至2019年12月在南京大学医学院附属鼓楼医院行胸腔置管引流术的80例患者按随机数字表法分为对照组和试验组, 每组40例。对照组给予传统的乙醇、聚维酮碘消毒;试验组给予银尔通抗菌液联合银尔舒抗菌凝胶处理。观察并比较2组患者胸腔置管引流术穿刺创口感染情况、水肿程度、导管位移发生率、导管病原菌定植率、疼痛以及护理满意度。结果对照组患者穿刺创口感染率为15%(6/40), 试验组患者无穿刺创口感染, 2组比较差异有统计学意义(χ^(2)=4.50, P<0.05)。2组患者导管病原菌定植率比较差异无统计学意义(P>0.05)。对照组患者创口无水肿及轻度、中度、重度水肿分别为28、6、4、2例, 试验组患者分别为38、1、1、0例, 2组创口水肿程度比较差异有统计学意义(Z=8.19, P<0.05)。2组患者插管后即刻疼痛视觉模拟量表(VAS)评分比较差异无统计学意义(P>0.05), 试验组插管24 h和拔管时VAS评分分别为(3.10 ± 1.34)、(1.50 ± 1.36)分, 对照组分别为(3.83 ± 1.28)、(2.38 ± 1.28)分, 2组比较差异有统计学意义(t=2.48、2.97, 均P<0.05)。出院时, 对照组的护理满意度为80.0%(32/40), 试验组的护理满意度为97.5%(39/40), 2组比较差异有统计学意义(χ^(2)=8.31, P<0.05)。结论银尔通抗菌液联合银尔舒抗菌凝胶可明显降低胸腔置管引流术创口感染率、减轻创口水肿和疼痛, 提高患者的护理满意度, 值得推广应用。Objective To investigate the effect of Yinertong antibacterial fluid combined with Yintshu antibacterial gel on puncture wound infection in pleural catheter drainage.Methods A total of 80 patients who underwent pleural catheter drainage in Gulou Hospital Affiliated to Medical College of Nanjing University from January 2018 to December 2019 were enrolled.They were divided into the control group and the experimental group by random digits table method,with 40 cases each.The control group was given alcohol disinfection and traditional iodophor.The experimental group was given Yinerong antibacterial fluid combined with Yintshu antibacterial gel.The infection of puncture wound,degree of edema,incidence of catheter displacement,colonization rate of catheter pathogens,pain,and nursing satisfaction were observed and compared between the two groups.Results The wound infection rate was 15%(6/40)in the control group,and 0(0/40)in the experimental group,the difference was statistically significant(χ^(2)=4.50,P<0.05).There was no significant difference in colonization rate of catheter pathogens between the two groups(P>0.05).There were 28,6,4 and 2 cases of no edema,mild,moderate and severe edema in the control group and 38,1,1 and 0 cases in the experimental group,the difference was statistically significant(Z=8.19,P<0.05).There was no significant difference in the scores of Visual Analogue Scale(VAS)of immediate pain of puncture between the two groups(P>0.05).The score of VAS after 24 hours of puncture and at the time of extubation was(3.10±1.34),(1.50±1.36)points in the experimental group,and(3.83±1.28),(2.38±1.28)points in the control group,the differences were statistically significant(t=2.48,2.97,both P<0.05).The satisfaction rate after discharge was 97.5%(39/40)in the experimental group,and 80.0%(32/40)in the control group,the difference was statistically significant(χ^(2)=8.31,P<0.05).Conclusions The combined application of Yinertong antibacterial fluid and Yintshu antibacterial gel can significantly reduce the

关 键 词：银尔通抗菌液 银尔舒抗菌凝胶 胸腔置管引流术 创口感染 

分 类 号：R473.6[医药卫生—护理学]