3M透明敷料在小儿腹股沟斜疝术后切口护理中应用.docVIP

3M透明敷料在小儿腹股沟斜疝术后切口护理中应用 　　【摘要】 目的：探讨3M留置针透明敷料在小儿腹股沟斜疝术后切口护理中的应用效果。方法：选取笔者所在医院外科2012年1月-2013年12月小儿腹股沟斜疝术后患者160例，随机将其分为试验组（80例），术后切口应用6 cm×7 cm 3M透明敷料；对照组（80例）术后切口应用9 cm×7 cm 3L粘帖，观察术后应用3M透明敷料和3L粘贴伤口敷料的数量、切口换药的次数、换药的耗材、切口感染的例数。结果：试验组患者应用敷料的数量、换药次数、医用耗材、切口感染例数均少于对照组，两组比较差异有统计学意义（P0.05）。结论：应用3M透明敷贴能有效减少换药次数、节约医用耗材、防止切口感染，方便患者家属，减少护士的工作量，值得推广应用。 　　【关键词】 3M留置针透明敷料； 小儿腹股沟疝； 术后切口护理 　　The Application Effect of 3M Transparent Dressing for the Postoperative Wound Care of Pediatric Inguinal Hernia/ XI Ling，PENG Lian-xiang， LI Li.// Medical Innovation of China，2014，11（32）：080-082 　　【Abstract】 Objective：To explore the application effect of 3M transparent dressing in pediatric inguinal hernia for postoperative wound care.Method：One thousand six hundred of pediatric patients with indirect inguinal hernia were randomly selected in our hospital of from January 2012 to December 2013.They were divided into two groups （each contained 80 cases）.The experimental group was given 6 cm×7 cm 3M transparent dressing for postoperative incision， 9 cm×7 cm 3L pastes were used in the contrl group.The treatment effects were compared between the two groups.Result：The number of application of dressing change times medical consumables incision infection cases in the experimental group were significantly less than the control group（P0.05）.Conclusion：Application of 3M transparent dressing can effectively reduce the frequency of changing dressings save medical consumables， prevent the infection of incision， and reduce the workload of nurses.It is worthy of being spreaded. 　　【Key words】 3M transparent dressing； Inguinal hernia in children； Postoperation incision nursing 　　First-author’s address：Maternal and Children’s Hospital of Pingxiang City， Pingxiang 337000，China 　　doi：10.3969/j.issn.1674-4985.2014.32.028 　　小儿腹股沟斜疝分先天性和后天性两种。先天性斜疝是因生后腹膜鞘状突未闭合而形成的，它的囊壁菲薄，生后不久就会出现症状，但在生后6个月内尚可继续闭合，因此斜疝能自愈，而6个月后闭合的越来越小。因此斜疝发作次数少，6个月以内的婴儿，一般暂不手术，尚有自愈可能。经常发作的斜疝，任何年龄都可手术，但新生儿期一般不主张手术治疗斜疝，因此时斜疝囊壁极薄，手术后易复发。因此小儿斜疝平均手