【摘要】 目的探讨小儿先天性心脏病围手术期自创无缝合固定法固定中心静脉导管的安全性和有效性。方法选取2017年10月至2018年11月收治的先天性心脏病围手术期患儿100例,分为实验组和对照组各50例,对照组采用常规缝合线固定中心静脉导管;实验组采用自创无缝合固定法,使用透明敷贴加3M自粘性胶布加水胶体敷料固定。结果两组患儿各有2例中心静脉导管移位,两组中心静脉导管牢固程度相比差异无统计学意义(P>0.05);实验组导管固定部位皮肤感染发生率、导管相关性感染发生率和皮肤压疮发生率显著低于对照组(P<0.05)。结论小儿先天性心脏病围手术期采用自创无缝合固定法代替缝合线固定中心静脉导管安全有效,降低相关并发症发生率,能够促进患儿康复。更多还原

【Abstract】 Objective To explore the safety and effectiveness of self-created fixation on central venous catheter(CVC) among peri-operative children with congenital heart disease.Methods A total of 100 peri-operative children with congenital heart disease from October 2017 to November 2018 were divided into the intervention group(n=50) and the control group(n=50).The intervention group were given self-created fixation method for CVC,specifically used hyalo-dressing and 3 M self-adhesive plasters and hydrocolloid dressing to fixation central venous catheter.Results The CVC firmness in the two groups had no significant difference(P>0.05). The catheter skin infection odds,skin pressure sores odds and exudation odds in the intervention group were significant lower than those of the control group(P<0.05).Conclusion Using self-created fixation method for CVC among peri-operative children with congenital heart disease instead of suture line is safe and effective,which can reduce the complication formation rate and it is worthy to promote in the clinical work.更多还原