灭菌中药敷贴预防骨折患者外固定针道感染的效果研究  

Effect of sterilized traditional Chinese medicine application on preventing needle tract infections in patients with fractures undergoing external fixation

作　　者：吴成莉 王锐霞 刘林 姚山川 吴杰 周业红 刘颖清 Wu Chengli;Wang Ruixia;Liu Lin;Yao Shanchuan;Wu Jie;Zhou Yehong;Liu Yingqing(School of Nursing,Guizhou Medical University,Guizhou 550004,China)

机构地区：[1]贵州医科大学护理学院,贵阳贵州550004 [2]遵义医科大学第三附属医院(遵义市第一人民医院)急诊外科 [3]贵州医科大学附属医院护理部 [4]贵州医科大学附属医院急诊骨科 [5]遵义医科大学第三附属医院(遵义市第一人民医院)中心实验室 [6]九江职业大学

出　　处：《护理学杂志》2023年第17期70-73,共4页Journal of Nursing Science

基　　金：贵州省中医药管理局中医药、民族医药科学技术研究课题(QZYY-2019-050);贵州医科大学附属医院科研经费项目(GYHLB201802)。

摘　　要：目的探讨灭菌中药敷贴预防骨折外固定治疗患者针道感染的效果。方法选取47例临时外固定治疗的骨折患者,随机分配到试验组24例和对照组23例。试验组采用无菌中药敷贴贴于针道处,7 d更换1次;对照组使用灭菌纱布覆盖针道,以75%乙醇将纱布浸湿,每天2次,每3天更换纱布1次。比较两组针道感染率、针道局部疼痛程度及不良事件发生情况,检测白细胞计数(WBC)、C-反应蛋白值进行效果评价。结果试验组针道感染率为4.17%,对照组为26.09%,两组比较,差异有统计学意义(P<0.05)。试验组干预后第3~7天针道局部疼痛程度显著低于对照组(均P<0.05)。两组干预后第7天C-反应蛋白值比较,差异有统计学意义(P<0.05)。试验组未发生不良事件,对照组2例发生针道周围皮肤过敏,均无严重不良事件发生。结论采用中药敷贴应用于外固定针道护理,可有效预防外固定针道感染,降低患者疼痛程度,中药敷贴用于外固定针道护理的效果显著。Objective To explore the effect of sterilized traditional Chinese medicine(TCM)application on preventing needle tract infections in patients with fracture undergoing external fixation.Methods A total of 47 patients with fracture treated with temporary external fixation were randomly divided into an experimental group(24 cases)and a control group(23 cases).In the experimental group,sterile TCM application was applied to the needle tract and replaced once every 7 days.In the control group,sterilized gauze was used to cover the needle track,and the gauze was soaked with 75%ethanol twice a day,and the gauze was changed every 3 days.The needle tract infection rate,needle tract pain,and adverse events were compared between the two groups.The white blood cell count(WBC)and C-reactive protein(CRP)were also detected to evaluate the effect.Results The needle tract infection rate was 4.17%in the experimental group and 26.09%in the control group,with a statistically significant difference(P<0.05).The local pain degree of the experimental group was significantly lower than that of the control group from the 3rd to 7th day after intervention(all P<0.05).On the 7th day after intervention,the value of CRP in the two groups was significantly different(P<0.05).No adverse events occurred in the experimental group,and 2 cases of skin allergy around the needle tract occurred in the control group,and no serious adverse events occurred.Conclusion The TCM application in the nursing of external fixation needle track can effectively prevent infections and reduce patient pain.The effect of TCM application in this context is significant.

关 键 词：骨折 外固定 针道感染 中药敷贴 乙醇 护理 

分 类 号：R473.6[医药卫生—护理学]