【摘要】：目的探討在體外循環(huán)手術中使用循環(huán)水變溫毯聯(lián)合軟聚硅酮泡沫敷料預防壓瘡的效果,為壓瘡的預防探索更為有效的方法,同時為其在臨床中的廣泛應用提供依據(jù)。方法按照設定的入選標準,選取某三級甲等醫(yī)院體外循環(huán)手術108例,隨機將手術分為兩組,即循環(huán)水變溫毯聯(lián)合軟聚硅酮泡沫敷料組(觀察組)54例和單獨使用軟聚硅酮泡沫敷料組(對照組)54例。測定患者在麻醉前、切皮膚時、體外循環(huán)開始時、體外循環(huán)結(jié)束時、手術結(jié)束時這幾個時間點的鼻咽溫和肛溫;記錄手術過程中發(fā)生低體溫的患者(體溫36℃)的數(shù)量;術中體外循環(huán)時間及手術總時間;比較手術結(jié)束時兩組患者的Ⅰ、II期壓瘡的發(fā)生率。結(jié)果手術過程中,觀察組和對照組患者相比較,鼻咽溫和肛溫均偏高而且體溫變化幅度小(P0.05)。比較兩組患者的低體溫發(fā)生率,觀察組明顯小于對照組(P0.05)。在體外循環(huán)手術中依據(jù)手術的需要降溫和復溫,觀察組降溫和復溫的時間明顯短于對照組(P0.05)。觀察組發(fā)生1例Ⅰ期壓瘡,壓瘡的發(fā)生率為1.9%。對照組發(fā)生8例壓瘡,發(fā)生率為14.8%,其中,Ⅰ期壓瘡7例,II期壓瘡1例。經(jīng)統(tǒng)計學分析,術中兩種預防壓瘡的方法對壓瘡的發(fā)生有明顯差異,具有統(tǒng)計學意義。結(jié)論體外循環(huán)手術患者應用循環(huán)水變溫毯聯(lián)合軟聚硅酮泡沫敷料相對于單純使用軟聚硅酮泡沫敷料,降低了術中低體溫的發(fā)生率,縮短了手術時間,可明顯降低術中壓瘡的發(fā)生率,值得在臨床推廣使用。
[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，

本文編號：2253970