经股动脉穿刺溶栓导管保护带的制作及临床应用

发布时间：2018-06-03 00:29

本文选题：股动脉 + 穿刺术　；参考：《中华护理杂志》2017年05期

【摘要】：目的探讨自制经股动脉穿刺溶栓导管保护带在经股动脉穿刺置管溶栓治疗下肢动脉缺血患者中的应用效果。方法采用方便抽样法,选取2016年3月—11月在河北省某三级甲等医院血管外科住院的经股动脉穿刺置管溶栓治疗下肢动脉缺血患者116例作为研究对象,按照随机数字表法分为试验组和对照组,每组各58例。两组均用无菌透明敷贴固定溶栓导管,试验组用经股动脉穿刺溶栓导管保护带加以包扎固定,对照组采用自粘弹力绷带"十字交叉"进行外固定。观察两组的溶栓导管意外拔管发生情况,三通接头与皮肤接触部位发生医疗器械相关性压疮情况和导管固定周围皮肤发生医用黏胶相关性皮肤损伤情况。结果比较两组的溶栓导管意外拔管发生率、医疗器械相关性压疮发生情况及医用黏胶相关性皮肤损伤发生情况,差异均具有统计学意义(P0.05)。结论下肢动脉缺血患者经股动脉穿刺置管溶栓期间,采用经股动脉穿刺溶栓导管保护带包扎固定溶栓导管,降低了溶栓导管意外拔管发生率,有效避免了医疗器械相关性压疮、医用黏胶相关性皮肤损伤等不良事件,保证了患者的安全。
[Abstract]:Objective to investigate the effect of self-made protective band of thrombolytic catheter through femoral artery puncture in the treatment of lower extremity artery ischemia. Methods A convenient sampling method was used to select 116 patients with lower extremity artery ischemia who were hospitalized in vascular surgery department of a Grade 3A hospital in Hebei province from March to November 2016, who were treated with thrombolytic therapy through femoral artery puncture. According to the method of random digital table, 58 cases in each group were divided into experimental group and control group. The thrombolytic catheter was fixed with aseptic and transparent application in both groups. The experimental group was treated with femoral artery puncture thrombolytic catheter protective band and the control group was treated with self-adhesive elastic bandage "cross". The incidence of accidental extubation of thrombolytic catheter, the occurrence of medical instrument-related pressure sores in the contact area between the three-way connection and the skin around the catheter fixation and the medical viscose associated skin injury were observed in the two groups. Results the incidence of accidental extubation of thrombolytic catheter, the incidence of medical instrumentation associated pressure sore and the incidence of medical viscose associated skin injury were compared between the two groups. The difference was statistically significant (P 0.05). Conclusion during thrombolytic therapy through femoral artery puncture in patients with lower extremity artery ischemia, the protective band of femoral artery puncture thrombolytic catheter is used to bind and fix the thrombolytic catheter, which reduces the incidence of accidental extubation of thrombolytic catheter and effectively avoids the pressure sore associated with medical device. Medical viscose associated skin injury and other adverse events to ensure the safety of patients.
【作者单位】：河北医科大学第二医院血管外科;
【分类号】：R472

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