指夹式血氧饱和度探头固定方法改良临床研究.docVIP

指夹式血氧饱和度探头固定方法改良临床研究 　　【摘要】 目的：探讨指夹式血氧饱和度探头固定方法改良后的临床应用效果。方法：选取2016年6月-2017年6月本院神经内科收治的危重患者400例，将其随机分为试验组和对照组，每组各200例。对照组按传统心电监护技术操作规范夹血氧饱和度探头，试验组采用改良式探头固定方法。比较探头24 h内脱落次数、3个月内损坏次数及护士返工次数。结果：试验组探头24 h内脱落和3个月内损例数均明显低于对照组（P0.05）；试验组护士返工次数明显低于对照组（P0.5）。结论：对指夹式血氧饱和度探头的固定方法进行改良，可明显降低探头松动和损坏概率，提高护理工作效率，值得各大医院推广应用。 　　【关键词】 指夹式； 血氧饱和度探头； 固定 　　【Abstract】 Objective：To discuss the clinical effect of improvement on the fixation of finger clip SpO2 probe.Method：400 severe patients were treated in neurology department of our hospital from June 2016 to June 2017 were selected，and they were randomly divided into experimental group and control group，200 cases in each group.The control group was given traditional ECG monitoring technology to fix finger clip SpO2 probe，the experimental group was given improved fixation of finger clip SpO2 probe.The number of falls within 24 hours，the number of damage in 3 months and the number of nurses rework of two groups were compared.Result：The number of falls within 24 hours and the number of damage in 3 months in the experimental group were both significantly lower than those of the control group（P0.05）；the mumber of nurse rework in the experimental group was obviously less than that of the control group（P0.05）.Conclusion：The improved fixation of finger clip SpO2 probe can effectively decrease the probe expulsion rate and the probe damage rate，improve the nursing work efficiency，it is worthy of popularization and application in major hospitals. 　　【Key words】 Finger clip； SpO2 probe； Fixation 　　First-author’s address：Jiujiang No.1 People’s Hospital，Jiujiang 332000，China 　　doi：10.3969/j.issn.1674-4985.2017.28.028 　　血氧?和度（SpO2）可准确反映机体氧合血红蛋白状况，评价氧合程度，了解机体的氧供情况，为疾病的诊治提供及时、准确的信息[1]。监测中一旦发现异常，可及时给予临床干预，以免造成严重后果。因此，血氧饱和度监测已被广泛应用于危急重患者的生命监测中[2]。在监测过程中，探头的固定与否也是临床工作中需要重视的内容之一。现临床较为常用的是指夹式探头，由于危急重患者常伴有意识不清或烦躁等症状，容易导致探头松动、脱落，甚至损坏，由此不仅影响监测结果，同时也为临床护理工作增加一定的工作量[3]。因而探究一种简单有效的固定方法有助于临床工作的开展，本研究选取危重患者400例进行分组观察，探讨探头固定方法改良的效果，现报道如下。 　　1 资料与方法 　　1.1 一般资