藻酸盐敷料联合水胶体敷料在极低出生体质量儿PICC置管后并发症预防中的应用  

Application of Alginate Dressing Combined with Hydrocolloid Dressing in the Prevention of Complications after PICC Catheterization in Very Low Birth Weight Infants

作　　者：伊婷婷[1] YI Tingting(Department of Neonatal Intensive Care Unit,the Children's Hospital of Shenyang City,Shenyang 110032,China)

机构地区：[1]沈阳市儿童医院新生儿重症监护病房,辽宁沈阳110032

出　　处：《中国医药指南》2023年第9期94-96,共3页Guide of China Medicine

摘　　要：目的探讨藻酸盐敷料联合水胶体敷料在极低出生体质量儿PICC置管后并发症预防中的应用。方法将88例符合PICC置管条件的极低出生体质量儿随机分为观察组(44例)和对照组(44例)。观察组在穿刺成功后,应用5 cm×5 cm藻酸盐敷料,修剪为2 cm×5 cm折成3折覆盖穿刺点,用水胶体敷料进行外固定,48 h更换为3M透明贴,7 d后常规换药;对照组用八层2 cm×1.5 cm无菌纱布覆盖穿刺点,用3M透明贴进行外固定,48 h更换为3M透明贴,7 d后换药。观察比较两组PICC置管后出血及静脉炎的发生率。结果观察组穿刺点渗血止血总有效率明显高于对照组(P<0.01)。观察组静脉炎发生率显著低于对照组(P<0.01)。观察组皮肤损伤低于对照组(P<0.01)。治疗满意度的对比结果显示:入选到观察组的44例患儿家属在治疗方式、治疗过程、治疗质量、治疗总满意度等方面的评分明显高于对照组,组间数据有明显的差异性(P<0.01)。结论运用藻酸盐敷料联合水胶体敷料在早产儿PICC置管后,能有效降低穿刺点出血和静脉炎的发生,显著提升了患儿家属的治疗满意度,可改善患儿PICC置管后局部皮肤受损情况。Objective To investigate the application of alginate dressing combined with hydrocolloid dressing in the prevention of complications after PICC catheterization in very low birth weight infants.Methods Eighty-eight cases of very low birth weight infants with PICC catheterization were randomly divided into observation group(44 cases)and control group(44 cases).After successful puncture,5 cm×5 cm alginate dressing was applied in the observation group,2 cm×5 cm was cut and folded into 3 folds to cover the puncture point,and external fixation was performed with hydrocolloid dressing.The patch was replaced with 3M transparent patch within 48 hours,and the dressing was changed 7 days later.In the control group,eight layers of 2 cm×1.5 cm sterile gauze were used to cover the puncture site,and external fixation was performed with 3M transparent patch.The patch was replaced with 3M transparent patch within 48 hours,and the dressing was changed 7 days later.The incidence of bleeding and phlebitis after PICC catheterization was observed and compared between the two groups.Results Effecive rate of bleeding and hemostasis at puncture point in the observation group was significantly higher than that in the control group(P<0.01).The incidence of phlebitis in the observation group was significantly lower than that in the control group(P<0.01).The skin injury in the observation group was lower than that in the control group(P<0.01).The comparison results of treatment satisfaction showed that the scores of 44 children's families in the observation group were significantly higher than those in the control group in terms of treatment mode,treatment process,treatment quality and total satisfaction with treatment,and there was significant difference between the groups(P<0.01).Conclusion Alginate dressing combined with hydrocolloid dressing can effectively reduce the incidence of bleeding and phlebitis after PICC catheterization in very low birth weight infants.

关 键 词：极低出生体质量儿 藻酸盐敷料 水胶体敷料 出血 静脉炎 

分 类 号：R722.1[医药卫生—儿科]