[1]沈悦好,原志芳,刘 媛,等.两种不同换药方法在气管切开患者中的应用效果评价[J].医学信息,2020,33(13):84-86.[doi:10.3969/j.issn.1006-1959.2020.13.022]
　SHEN Yue-hao,YUAN Zhi-fang,LIU Yuan,et al.Evaluation of the Effect of Two Different Dressing Methods in Patients with Tracheotomy[J].Medical Information,2020,33(13):84-86.[doi:10.3969/j.issn.1006-1959.2020.13.022]
点击复制

两种不同换药方法在气管切开患者中的应用效果评价()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年13期
页码:
84-86
栏目:
论著
出版日期:
2020-07-01

文章信息/Info

Title:
Evaluation of the Effect of Two Different Dressing Methods in Patients with Tracheotomy
文章编号:
1006-1959（2020）13-0084-03
作者:
沈悦好; 原志芳; 刘 媛; 等
（天津医科大学总医院呼吸与危重症医学科，天津 300052）
Author(s):
SHEN Yue-hao; YUAN Zhi-fang; LIU Yuan; et al
(Department of Respiratory and Critical Care Medicine,General Hospital of Tianjin Medical University,Tianjin 300052,China)
关键词:
气管切开; 皮肤感染; 聚维碘酮
Keywords:
Tracheotomy; Skin infection; Povidone
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2020.13.022
文献标志码:
A
摘要:
目的 观察生理盐水和聚维碘酮两种不同溶液在气管切开患者切口换药中的应用效果。方法 选取某三甲医院2017年2月~2019年3月接受治疗的气管切开患者60例作为研究对象。采用随机数字表法分为A、B两组，各30例。A组选用聚维碘酮进行换药，B组选用生理盐水进行换药。比较两组气管切开处皮肤感染程度、切口处皮肤菌落计数、致病菌培养结果及患者换药过程中舒适度（刺激性咳嗽发生率及换药后2、5 min患者血氧饱和度情况）。结果 两组切口感染程度、菌落计数及致病菌培养结果比较，差异无统计学意义（P＞0.05）；A组刺激性咳嗽发生率高于B组，差异有统计学意义（P＜0.05）；两组换药后2、5 min血氧饱和度比较，差异无统计学意义（P＞0.05）。结论 聚维碘酮溶液与生理盐水均可降低气切患者切口处皮肤感染程度、皮肤菌落计数和致病菌的产生，但生理盐水组有助于降低患者刺激性咳嗽的发生率，提高患者舒适度。
Abstract:
Objective To observe the effect of two different solutions of normal saline and povidone in the dressing change of patients with tracheotomy.Methods 60 patients with tracheotomy who were treated in a top three hospital from February 2017 to March 2019 were selected as the research subjects. Random number table method was used to divide them into two groups, A and B, each with 30 cases. Group A used povidone for dressing change, and group B used normal saline for dressing change. Compare the degree of skin infection at the tracheotomy site, the count of skin colonies at the incision, the results of pathogen culture and the patient’s comfort during dressing change (incidence of irritating cough and blood oxygen saturation at 2, 5 min after dressing change).Results There was no statistically significant difference in incision infection degree, colony count and pathogenic bacteria culture results between the two groups (P＞0.05); The incidence of irritating cough in group A was higher than that in group B, the difference was statistically significant (P＜0.05); the blood oxygen saturation at 2 and 5 min after dressing change between the two groups was not statistically significant (P＞0.05).Conclusion Povidone solution and normal saline can reduce the degree of skin infection, skin colony count and pathogenic bacteria in the incision of patients with gas cutting, but the normal saline group can help reduce the incidence of irritant cough and improve patient comfort degree.

参考文献/References:

[1]Khan FA,Ashrafi SK,Ashrafi,Iqbal H,et al.Operative complication of tracheostomy[J].Pak J Surg,2010,26(4):308-310.[2]Gilyoma JM,Balumuka DD,Chalya PL.Ten-year experiences with Tracheostomy at a University teaching hospital in Northwestern Tanzania:A retrospective review of 214 cases[J].World Journal of Emergency Surgery,2011,6(1):1-7. [3]缪素萍,邓瑞文,钟文珍.神经外科气管切开术后下呼吸道感染危险因素的调查分析[J].中华医院感染学杂志,2008,18(5):646-648.[4]Wilkins RG,Unverdorben M.Wound cleaning and wound healing:a concise review[J].Adv Skin Wound Care,2013,26(4):160-163.[5]Melissa D.Dennis-Rouse,Judy E Davidson.An Evidence-Based Evaluation of Tracheostomy Care Practices[J].Crit Care Nurs Q,2008,31(2):150-160. [6]Higgins D.Basic nursing principles of caring for patients with a tracheostomy[J].Nursing Times,2009,105(3):14-15. [7]梁云艳,马晓波,梁云峰,等.局部五步消毒法在预防气管切开处伤口感染中的应用[J].中华现代护理杂志,2015,21(22):2713-2714.[8]焦庆丰,潘迎春,何院玲.乳酸依沙吖啶湿性愈合疗法在气管切开术后早期切口中的应用[J].当代护士,2019,26(1):128-130.[9]顾建华,古学秋,邓天芳.碘伏用于清醒病人气管切口外周皮肤消毒的护理效果研究[J].护理研究,2013,27(15):1465-1466.[10]Guzel A,Ozekinci TU,Celik Y,et al.Evaluation of the skin flora after chlorhexidine and povidone-iodine preparation in neurosurgical practice[J].Surg Neurol,2009,71(2):207-210.[11]罗萍.普外科术前聚维酮碘皮肤预消毒的效果研究[J].护理实践与研究,2016,13(1):136-137.[12]陈涛,尚希福,贺瑞,等.碘伏冲洗对全膝置换术后切口及功能恢复的影响[J].临床骨科杂志,2011,14(6):697-699.[13]李春霞,温梦玲,岳利群,等.气管切开病人切口保护护理循证实践[J].循证护理,2018,4(11):1012-1016.[14]邓秋霞,王永红,王丹丹,等.改良气管切开切口换药方法的临床应用效果评价[J].护理研究,2018,32(23):3712-3718.[15]郑小贞,马强.透明敷贴制作新型敷料在气管切开中的应用效果观察[J].当代护士,2019,26(11):188,封3.[16]应立英,任蔚虹,徐群燕,等.气管切开口加用灭菌纸巾的可行性研究[J].中国实用护理杂志,2006,22(31):44-45.

相似文献/References:

[1]封永顺.急性脑出血患者术后行早期气管切开对肺部感染及再出血的影响[J].医学信息,2021,34(01):132.[doi:10.3969/j.issn.1006-1959.2021.01.035]
　FENG Yong-shun.Effect of Early Tracheotomy on Lung Infection and Rebleeding in Patients with Acute Cerebral Hemorrhage[J].Medical Information,2021,34(13):132.[doi:10.3969/j.issn.1006-1959.2021.01.035]

更新日期/Last Update: 1900-01-01