3M无痛保护膜对气管导管固定处皮肤的保护效果

发布时间：2019-08-19 19:09

【摘要】：目的评价3M无痛保护膜对机械通气气管导管固定处皮肤损伤的保护效果。方法收集在我科气管插管机械通气患儿126例,随机分为观察组(63例)和对照组(63例)。对照组气管导管固定采用胶布直接黏贴、固定皮肤,观察组采用3M无痛保护膜喷涂面部局部皮肤后用胶布直黏贴、固定。比较两组患儿面部皮肤损伤发生率、皮损严重程度和气管插管脱管率。结果对照组患儿轻度皮肤损伤者28例,中度皮肤损伤9例,重度皮肤损伤4例;观察组63例患儿中,有2例轻度皮肤损伤,2例中度皮肤损伤,1例重度皮肤损伤,观察组总皮肤损伤发生率15.25%低于对照组69.84%,差异有统计学意义(P0.05);皮损严重程度方面,观察组皮肤明显低于对照组,差异有统计学意义(P0.05);两组患儿气管插管脱管率差异无统计学意义(P0.05)。结论 3M无痛保护膜联合胶布黏贴固定气管导管,可显著降低导管固定处面部皮损发生率及皮损严重程度,对气管导管的固定效果较为可靠。
[Abstract]:Objective to evaluate the protective effect of 3 M painless protective membrane on skin injury at mechanical ventilation trachea catheter fixation. Methods 126 children with mechanical ventilation with endotracheal intubation were randomly divided into observation group (63 cases) and control group (63 cases). In the control group, the trachea catheter was fixed with adhesive tape and fixed, while in the observation group, the local skin was sprayed with 3M painless protective film and fixed with adhesive tape. The incidence of facial skin injury, the severity of skin lesions and the rate of tracheal intubation and extubation were compared between the two groups. Results there were 28 cases of mild skin injury, 9 cases of moderate skin injury and 4 cases of severe skin injury in the control group, 2 cases of mild skin injury, 2 cases of moderate skin injury and 1 case of severe skin injury in the observation group, the total incidence of skin injury in the observation group was 15.25%, which was significantly lower than that in the control group (P 0.05). In terms of the severity of skin lesions, the skin of the observation group was significantly lower than that of the control group, the difference was statistically significant (P 0.05), but there was no significant difference in the rate of endotracheal intubation between the two groups (P 0.05). Conclusion the fixation of trachea catheter with 3M painless protective membrane combined with adhesive tape can significantly reduce the incidence and severity of facial skin lesions at catheter fixation, and the fixation effect of trachea catheter is more reliable.
【作者单位】：郑州儿童医院;
【分类号】：R473.72

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