循环水变温毯联合软聚硅酮泡沫敷料预防体外循环手术中压疮的相关研究

发布时间：2018-10-05 15:50

【摘要】：目的探讨在体外循环手术中使用循环水变温毯联合软聚硅酮泡沫敷料预防压疮的效果,为压疮的预防探索更为有效的方法,同时为其在临床中的广泛应用提供依据。方法按照设定的入选标准,选取某三级甲等医院体外循环手术108例,随机将手术分为两组,即循环水变温毯联合软聚硅酮泡沫敷料组(观察组)54例和单独使用软聚硅酮泡沫敷料组(对照组)54例。测定患者在麻醉前、切皮肤时、体外循环开始时、体外循环结束时、手术结束时这几个时间点的鼻咽温和肛温;记录手术过程中发生低体温的患者(体温36℃)的数量;术中体外循环时间及手术总时间;比较手术结束时两组患者的Ⅰ、II期压疮的发生率。结果手术过程中,观察组和对照组患者相比较,鼻咽温和肛温均偏高而且体温变化幅度小(P0.05)。比较两组患者的低体温发生率,观察组明显小于对照组(P0.05)。在体外循环手术中依据手术的需要降温和复温,观察组降温和复温的时间明显短于对照组(P0.05)。观察组发生1例Ⅰ期压疮,压疮的发生率为1.9%。对照组发生8例压疮,发生率为14.8%,其中,Ⅰ期压疮7例,II期压疮1例。经统计学分析,术中两种预防压疮的方法对压疮的发生有明显差异,具有统计学意义。结论体外循环手术患者应用循环水变温毯联合软聚硅酮泡沫敷料相对于单纯使用软聚硅酮泡沫敷料,降低了术中低体温的发生率,缩短了手术时间,可明显降低术中压疮的发生率,值得在临床推广使用。
[Abstract]:Objective to explore the effect of using circulating water warp blanket combined with soft polysilicone foam dressing to prevent pressure sore during cardiopulmonary bypass (CPB), and to explore a more effective method for the prevention of pressure sore, and to provide the basis for its wide application in clinical practice. Methods according to the selected criteria, 108 patients undergoing cardiopulmonary bypass in a certain Grade 3A hospital were randomly divided into two groups. There were 54 cases in the study group (observation group) and 54 cases in the control group (control group). The nasopharynx and anal temperature were measured at the beginning of cardiopulmonary bypass (CPB), before anesthesia, at the beginning of extracorporeal circulation (CPB) and at the end of operation, and the number of patients with hypothermia (body temperature 36 鈩，

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