發(fā)布時(shí)間：2018-06-03 00:29

  本文選題：股動(dòng)脈 + 穿刺術(shù)��； 參考：《中華護(hù)理雜志》2017年05期

【摘要】：目的探討自制經(jīng)股動(dòng)脈穿刺溶栓導(dǎo)管保護(hù)帶在經(jīng)股動(dòng)脈穿刺置管溶栓治療下肢動(dòng)脈缺血患者中的應(yīng)用效果。方法采用方便抽樣法,選取2016年3月—11月在河北省某三級(jí)甲等醫(yī)院血管外科住院的經(jīng)股動(dòng)脈穿刺置管溶栓治療下肢動(dòng)脈缺血患者116例作為研究對(duì)象,按照隨機(jī)數(shù)字表法分為試驗(yàn)組和對(duì)照組,每組各58例。兩組均用無(wú)菌透明敷貼固定溶栓導(dǎo)管,試驗(yàn)組用經(jīng)股動(dòng)脈穿刺溶栓導(dǎo)管保護(hù)帶加以包扎固定,對(duì)照組采用自粘彈力繃帶"十字交叉"進(jìn)行外固定。觀察兩組的溶栓導(dǎo)管意外拔管發(fā)生情況,三通接頭與皮膚接觸部位發(fā)生醫(yī)療器械相關(guān)性壓瘡情況和導(dǎo)管固定周?chē)つw發(fā)生醫(yī)用黏膠相關(guān)性皮膚損傷情況。結(jié)果比較兩組的溶栓導(dǎo)管意外拔管發(fā)生率、醫(yī)療器械相關(guān)性壓瘡發(fā)生情況及醫(yī)用黏膠相關(guān)性皮膚損傷發(fā)生情況,差異均具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論下肢動(dòng)脈缺血患者經(jīng)股動(dòng)脈穿刺置管溶栓期間,采用經(jīng)股動(dòng)脈穿刺溶栓導(dǎo)管保護(hù)帶包扎固定溶栓導(dǎo)管,降低了溶栓導(dǎo)管意外拔管發(fā)生率,有效避免了醫(yī)療器械相關(guān)性壓瘡、醫(yī)用黏膠相關(guān)性皮膚損傷等不良事件,保證了患者的安全。
[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.
【作者單位】： 河北醫(yī)科大學(xué)第二醫(yī)院血管外科;
【分類(lèi)號(hào)】：R472

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