邓小变;何利;
DENG Xiaobian;HE Li;Guiyang Medical University;

• 1:贵州医科大学

摘要(Abstract)：

目的:探讨透明防水敷贴和棉质敷贴对预防锁骨下静脉置管(SVC)感染的效果。方法:160例胃肠外科行SVC的患者,根据SVC时使用敷贴分为棉质敷贴组(M组)和透明防水敷贴组(T组),两组又根据换药时间分为1 d、3 d、5 d及7 d组,各组再根据置管季节分为春季组与夏季组,并根据年龄分为<60岁组与≥60岁组;分别于换药时取穿刺口3 cm皮肤表面物质涂血平板在36℃的恒温下培养24 h,观察并记录菌落数。结果:换药第1天时,两种敷贴处皮肤表面物培养菌落数差异无统计学意义(P>0.05),随换药时间延长,菌落培养增加(P<0.05),且棉质敷贴菌落数低于同期透明防水敷贴组(P<0.05);春季与夏季比较,两种敷贴菌落数同期比较差异有统计学意义(P<0.05),且夏季,棉质敷贴菌落数低于同期透明防水敷贴组(P<0.05);<60岁组与≥60岁组比较,棉质敷贴组菌落数与透明防水敷贴组同期比较差异有统计学意义(P<0.05)。结论:夏季及老年患者应用棉质敷贴局部换药效果比透明防水敷贴好。
Objective: To investigate the prevention effect of transparent waterproof plaster and cotton application on subclavian vein catheter infection. Methods: A total of 160 patients from Gastrointestinal Surgery conducted SVC were divided into cotton application group( M group) and transparent waterproof application group( T group). The two groups were divided into 1 d,3 d,5 d and 7 d group according to dressing change time,each group was divided into spring and summer group,and < 60 years old group and ≥60 years old group. Taking 3cm puncture on skin surface coated with blood plate material and cultivated for 24 h at a constant temperature of 36 ℃,observing and recording the number of colony. Results: On the first dressing change day,colonies from skin surface of two application showed no significant difference( P > 0. 05). With dressing change time prolonged,cultured colonies also increased( P < 0. 05),and the number of colonies of cotton application groups were lower than that of transparent waterproof application groups( P < 0. 05). Comparing spring and summer group data,the number of colonies are statistically significant in two applications( P < 0. 05); in summer,the colonies of cotton application were lower than transparent waterproof application group in the same period( P < 0. 05). For < 60 years and ≥60 years old group,the differences of number of colonies for both groups were statistically significant in the same period time( P < 0. 05). Conclusion: Cotton application dressing change effect is better than transparent waterproof application in summer and ideal for elder patients.

关键词(KeyWords)： 锁骨下静脉置管;透明防水敷贴;棉质敷贴;菌落数
subclavian vein catheterization;transparent waterproof plaster;cotton applicator;colony count

Abstract:

Keywords:

基金项目(Foundation): 贵州省卫生厅基金资助(NO.WT2013-6)

作者(Author): 邓小变;何利;
DENG Xiaobian;HE Li;Guiyang Medical University;

Email:

DOI: 10.19367/j.cnki.1000-2707.2015.12.026

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