无粘胶泡沫敷料在气管切开患者伤口换药中应用效果观察.pdfVIP

第 9 届北京国际康复论坛 The 9th Beijing International Forum on Rehabilitation 无粘胶泡沫敷料在气管切开患者伤口换药中的应用效果 观察 赵珍 中国康复研究中心 北京博爱医院 [摘要] 目的 观察无粘胶泡沫敷料在气管切开伤口换药中的应用效果。方法 选择 2013 年 1 月-2014 年 6 月本院神经康复三科气管切开的患者 42 例,按入院时间顺序分为对照组和实验组各 21 例。对照组采用普通无 菌开口纱布行气管切开换药,实验组应用电离辐射灭菌无粘胶泡沫敷料进行换药。比较两组患者平均每日换药次 数、日医疗费用及切口周围皮肤感染情况。结果 使用无菌开口纱布换药的切口平均日换药 1.52 次，日均医疗 费用 19.94 元；使用无粘胶泡沫敷料换药的切口平均日换药 0.32 次，日均医疗费用 10.81 元；切口周围皮肤感 染率分别为 57.1%和 14.2%,两组差异有统计学意义(P0.05) 。结论 应用无粘胶泡沫敷料对气管切开伤口进行换 药,可有效吸收创面渗液,保持创面清洁干燥,,减少换药次数，降低医疗费用，降低感染率,从而减少护理工作量和 减轻患者痛苦，值得临床推广应用。 [关键词]无粘胶泡沫敷料；气管切开；伤口换药 Non-adhesive foam dressings in patients with tracheotomy application effect is observed in the wound dressing ZHAO Zhen Department of Neurology, Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068,China Abstract: Objective To observe Non-adhesive foam dressings in the application of tracheostomy wound dressing effect. Methods in January 2013 - June 2014 in our hospital 42 patients with nerve rehabilitation educational tracheostomy, in hospital time order is divided into control group and experimental group (n = 21). The control group was reintubated opening using common sterile gauze dressing, experimental application of ionizing radiation sterilization Non-adhesive foam dressings for dressing. Compare two groups of patients daily average switching frequency 、daily medical costs and the surrounding skin incision infection. Results using aseptic opening incision of gauze bandage bandage daily average 1.52 times, average daily medical costs 19.94 yuan; Use Non-adhesive foam dressings dressing change the bandage daily average