不同皮肤护理干预对预防儿童行视频脑电监测引起头皮损伤的研究.docVIP

不同皮肤护理干预对预防儿童行视频脑电监测引起头皮损伤的研究 　　[摘要] 目的 探?不同皮肤护理干预措施对预防儿童行视频脑电监测引起头皮损伤的效果。 方法 选取2015年1月～2016年6月于首都医科大学宣武医院儿科行视频脑电监测的250例患儿为研究对象，采用随机数字表法分为棉球组、3M水胶体敷料组、3M硅胶胶布组、康惠尔水胶体敷料组和对照组，每组各50例，分别采用棉球、3M液体敷料、3M硅胶胶布、康惠尔水胶体敷料进行脑电头皮保护，对照组按照病房常规视频脑电监测的固定方法进行视频脑电监测的电极固定。脑电结束后进行头皮损伤评估，并进行组间比较。 结果 五组患儿头皮损伤程度差异有高度统计学意义（P 0.01）；两两比较显示，棉球组、3M硅胶胶布组与对照组比较，头皮损伤差异有统计学意义（P 0.01或P 0.05）。 结论 使用棉球和3M硅胶胶布对视频脑电患儿进行头皮保护可以降低患儿视频脑电引起的头皮损伤的严重程度，为临床实践提供借鉴。 　　[关键词] 视频脑电监测；头皮损伤；皮肤护理；儿童 　　[中图分类号] R473 [文献标识码] A [文章编号] 1673-7210（2017）09（b）-0068-04 　　Clinical study of different skin care interventions for prevention of scalp injury induced by video electroencephalogram in children 　　HUO Guangyan1 ZHANG Xiaoxue2 ZHAN Yan1 WANG Yuping3 ZHAO Xuan1 ZHU Xiaoying1 LI Ting1 LI Rui1 　　1.Department of Pediatrics， Xuanwu Hospital， Capital Medical University， Beijing 100053， China； 2.Nursing School，Capital Medical University， Beijing 100069， China； 3.Department of Neurology， Xuanwu Hospital， Capital Medical University， Beijing 100053， China 　　[Abstract] Objective To explore the effect of different skin care interventions for prevention of scalp injury induced by video electroencephalogram （VEEG） in children. Methods From January 2015 to June 2016， 250 cases of children provided with VEEG in Pediatrics Department of Xuanwu Hospital， Capital Medical University were selected， and randomly divided into the medical cotton ball group， 3M hydrocolloid dressings group， 3M silicone adhesive group， Comfeel hydrocolloid dressing group and control group， each group had 50 cases. Patients were given corresponding treatments of medical cotton ball， 3M hydrocolloid dressings， 3M silicone adhesive and Comfeel hydrocolloid dressing for scalp protection during VEEG， while patients in the control group were given the convention electrode fixed method during VEEG. The severity of scalp injury was compared among these groups. Results There was statistically significant difference in severity of scalp injury among the five groups