水胶体敷料预防新生儿心电监护电极片致皮肤损伤的效果观察  

Observation of the effect of hydrocolloid dressing on preventing skin damage caused by electrocardiogram monitoring electrodes in neonates

作　　者：李兆子 LI Zhao-zi(Department of Pediatrics,Kaiping Maternal and Child Health Hospital,Kaiping 529300,China)

机构地区：[1]开平市妇幼保健院儿科,529300

出　　处：《中国现代药物应用》2024年第3期47-49,共3页Chinese Journal of Modern Drug Application

摘　　要：目的观察水胶体敷料预防新生儿心电监护电极片致皮肤损伤的效果。方法将开平市妇幼保健院2021年5月~2022年12月入院的112例新生儿按随机数字表分为对照组(n=56例,常规皮肤直接贴电极片)及观察组(n=56例,水胶体敷料皮肤保护膜贴敷后再贴电极片),采用国际接触性皮炎研究组规定的标准对两组新生儿皮肤损伤进行评价,统计两组新生儿两侧的接触性皮炎发生率,比较两组新生儿两侧接触性皮炎发生时间差异,采用Wong-Banker面部表情量表评价两组新生儿揭除电极片的疼痛程度。结果观察组两侧接触性皮炎发生率为12.50%(7/56),明显低于对照组的55.36%(31/56)(χ^(2)=22.942,P=0.000<0.05)。观察组阳性新生儿两侧接触性皮炎发生时间明显晚于对照组(χ^(2)=13.102,P=0.000<0.05)。观察组新生儿揭除电极片时疼痛程度明显轻于对照组(Z=8.151,P=0.000<0.05)。结论水胶体敷料皮肤保护膜贴敷后再贴电极片的方式能够大大降低接触性皮炎的发生率,减少电极导致的皮肤损伤,最大限度保证患儿安全,同时能够减轻揭除电极片的痛苦,提高患儿生活质量。Objective To observe the effect of hydrocolloid dressing on preventing skin damage caused by electrocardiogram monitoring electrodes in neonates.Methods A total of 112 newborns admitted to the Maternal and Child Health Hospital of Kaiping City from May 2021 to December 2022 were divided into control group(n=56 cases,conventional skin directly affixed electrodes)and observation group(n=56 cases,hydrocolloidal skin protective film was affixed with electrodes)according to a random number table.On day 1,day 2,day 3,day 4,day 5 and day 6,the skin injury of the children in the two groups was evaluated according to the standards stipulated by the International Contact dermatitis Research Group,the incidence of bilateral contact dermatitis in the two groups was calculated,and the difference in the occurrence time of bilateral contact dermatitis between the two groups was compared.Wong-Banker facial expression scale was used to evaluate the pain degree of the two groups.Results The incidence of bilateral contact dermatitis in the observation group was 12.50%(7/56),significantly lower than that in the control group 55.36%(31/56)(χ^(2)=22.942,P=0.000<0.05).The occurrence time of bilateral contact dermatitis in the observation group was significantly later than that in the control group(χ^(2)=13.102,P=0.000<0.05).The pain degree of the observation group was significantly less than that of the control group(Z=8.151,P=0.000<0.05).Conclusion The application of hydrocolloidal dressing before electrodes can greatly reduce the incidence of contact dermatitis,reduce the skin damage caused by the electrodes,ensure the maximum safety of children,and reduce the pain of removing the electrodes and improve the quality of life of children.

关 键 词：水胶体敷料 新生儿 心电监护电极片 皮肤损伤 

分 类 号：R473.72[医药卫生—护理学]