90例腹膜透析病人导管感染的不同 护理方法的效果观察(1)
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摘要：目的：探讨腹膜透析病人导管出口处感染的不同护理方法的效果。方法：将90例腹膜透析导管出口处感染病人随机分为治疗组和对照组各45例；治疗组导管出口处先用3%过氧化氢清洗后用生理盐水擦洗，再用爱康肤银敷5min待干，最后外涂少许百多邦软膏，3M胶带固定，每天一次；对照组用3%过氧化氢清洗后用生理盐水擦洗，再用氯霉素粉棉垫纱布敷5min，最后外涂百多邦软膏，3M胶带固定，治疗28天后评估疗效。结果：两组病人均未发生继发性腹膜炎，治疗组给予护理干预后，疼痛控制率及5d内感染控制率均较高。治疗组痊愈31例，10例显效，3例有效，1例无效；而对照组痊愈18例，显效12例，有效11例，无效4例。Ridit分析两组疗效，治疗组疗效明显优于对照组(P<0.01)；敷料费用治疗组虽明显高于对照组(P<0.01)，但换药次数、平均住院天数和平均总费用显著低于对照组。结论：外敷爱康肤银敷料治疗腹膜透析病人导管出口处感染，能明显提高感染控制率，缩短创面的愈合时间，减少治疗的总成本，具有一定的推广应用价值。
关键词：腹膜透析；导管感染；护理
Abstract: Objective : To investigate the effect of peritoneal dialysis catheter exit of patients infected with different methods of care . Methods: 90 cases of peritoneal dialysis catheter exit of the infected patients were randomly divided into treatment group and control group, 45 cases ; treatment group after the exit of the first catheter with 3% hydrogen peroxide wash with saline scrub , then apply 5min Icahn silver skin to be dry , and finally coated with Bactria ointment , 3M adhesive tape once a day ; the control group, with 3% hydrogen peroxide wash with saline scrub , then apply gauze pad chloramphenicol powder 5min, finally coated with Bactria ointment , 3M adhesive tape , after 28 days of treatment to assess efficacy ......
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