自粘性弹性绷带在脑室外引流伤口包扎中的应用  

Application of self-adhesive elastic bandage in wound dressing for external ventricular drainage

作　　者：周旭亮 陈泽波 欧阳倩 朱潇鹏 黄婷 邓爱军 谢兴云 ZHOU Xuliang;CHEN Zebo;OUYANG Qian;ZHU Xiaopeng;HUANG Ting;DENG Aijun;XIE Xingyun(Neurosurgery Department,Zhuzhou City Central Hospital of Hunan Province,Zhuzhou,Hunan,412001)

机构地区：[1]湖南省株洲市中心医院神经外科,湖南株洲412001

出　　处：《实用临床医药杂志》2023年第8期123-125,共3页Journal of Clinical Medicine in Practice

摘　　要：目的观察自粘性弹性绷带在脑室外引流伤口包扎中的应用效果。方法将2020年4月—2022年6月63例行脑室外引流术的脑出血患者纳入本研究,按照随机数字表法将其分为观察组和对照组。对照组30例采用普通绷带包扎伤口,观察组33例采用自粘性弹性绷带包扎伤口,观察2组患者脑脊液漏发生率、引流管折叠率、换药总费用及换药协助率。结果对照组脑脊液漏4例(13.3%),引流管道发生折叠6例(20.0%),换药需要协助27例(90.0%)。观察组引流导管发生折叠1例(3.0%),换药需要协助10例(30.3%)。观察组的换药总费用为(197.63±28.58)元人民币,少于对照组的(280.93±24.01)元人民币,差异有统计学意义(P<0.05)。结论采用自粘性弹性绷带对脑室外引流术后患者进行伤口包扎,能降低脑脊液漏发生率、引流管折叠率、换药协助率和换药总费用,为脑室外引流术伤口包扎绷带的选用提供临床依据。Objective To observe the application effect of self-adhesive elastic bandage in dressing wound of external ventricular drainage.Methods A total of 63 patients with external ventricular drainage for cerebral hemorrhage from April 2020 to June 2022 were included,and were divided into observation and control groups according to the random number table method.In the control group,30 patients used ordinary bandage for wound dressing;33 patients in the observation group used self-adhesive elastic bandage for wound dressing,and the incidence of cerebrospinal fluid leakage,drain folding rate,total cost for dressing change and assistance rate of dressing change of both groups were observed.Results In the control group,cerebrospinal fluid leakage occurred in 4 cases(13.3%),drainage tube folding in 6 cases(20.0%),and requiring assistance for dressing change in 27 cases(90.0%).In the observation group,drainage tube folding occurred in 1 case(3.0%),and requiring assistance for dressing change in 10 cases(30.3%).The total cost of dressing change in the observation group was(197.63±28.58)yuan RMB,which was less than(280.93±24.01)yuan RMB in the control group,and the difference was statistically significant(P<0.05).Conclusion The use of self-adhesive elastic bandage for wound dressing after external cerebral ventricular drainage can reduce the incidence of cerebrospinal fluid leakage,the folding rate of drainage tube,the dressing change assistance rate and the total cost of patient dressing change,and provide clinical basis for the wound dressing of external cerebral ventricular drainage.

关 键 词：脑出血 脑室外引流 伤口包扎 脑脊液漏 自粘性弹性绷带 普通绷带 

分 类 号：R618[医药卫生—外科学] R608[医药卫生—临床医学]