目的 對比引流管固定器與傳統固定方法在膽道術后患者“ T ”管固定中的效果。 方法 2012年2月－5月，將102例膽道術后留置“ T ”管的患者，按住院號隨機分為試驗組（52例）和對照組（50例），試驗組在傳統固定方法的基礎上加用引流管固定器固定“ T ”管，對照組采用傳統的方法固定“ T ”管，觀察比較兩種固定方法的效果。 結果 試驗組“ T ”管固定良好，無松動和脫落情況發生，僅5例患者存在“ T ”管周圍有疼痛刺激，兩組比較差異有統計學意義（P＜0.05）。 結論 采用引流管固定器固定“ T ”管能防止“ T ”管的松動和脫落，減輕患者“ T ”管周圍的疼痛，且便于醫護人員的觀察和操作，值得臨床推廣使用。
ObjectiveTo investigate the effectiveness of hydrocolloid dressing in preventing peripheral phlebitis due to intravenous infusions.
MethodsFrom April 1st to October 30th, 2014, 320 patients admitted in the Biliary Department of West China Hospital for parenteral nutrition were collected along with their clinical data and were randomly divided into control group and intervention group. A total of 160 patients who were allocated in the control group accepted simple dressing with 3M adhesive tape (6 cm×7 cm) at the intravenous catheter site. In contrast, hydrocolloid dressing (5 cm×7 cm) was applied at the intravenous catheter site and then covered with 3M adhesive tape (6 cm×7 cm) for the patients in the intervention group.
ResultsPhlebitis rate was significantly higher in the control group (115 patients) than that in the interventions group (64 patients) (χ2=32.978, P<0.001). In addition, the severity of phlebitis was higher in the control group than that in the intervention group (Z=-4.466, P<0.001). Statistically significant difference was noted.
ConclusionHydrocolloid dressing is effective in preventing and delaying the occurrence of peripheral phlebitis due to intravenous infusions.
