自粘性弹性绷带在脑室外引流伤口包扎中的应用

周旭亮; 陈泽波; 欧阳倩; 朱潇鹏; 黄婷; 邓爱军; 谢兴云

doi:10.7619/jcmp.20230191

自粘性弹性绷带在脑室外引流伤口包扎中的应用

湖南省株洲市中心医院神经外科, 湖南株洲, 412001

详细信息

通讯作者:
谢兴云, E-mail: 58041305@qq.com

中图分类号: R618;R608
计量
- 文章访问数: 96
- HTML全文浏览量: 52
- PDF下载量: 5
出版历程
- 收稿日期: 2023-01-30
- 修回日期: 2023-04-02
- 网络出版日期: 2023-05-10

Application of self-adhesive elastic bandage in wound dressing for external ventricular drainage

Neurosurgery Department, Zhuzhou City Central Hospital of Hunan Province, Zhuzhou, Hunan, 412001

摘要

摘要:
目的
观察自粘性弹性绷带在脑室外引流伤口包扎中的应用效果。
方法
将2020年4月—2022年6月63例行脑室外引流术的脑出血患者纳入本研究，按照随机数字表法将其分为观察组和对照组。对照组30例采用普通绷带包扎伤口，观察组33例采用自粘性弹性绷带包扎伤口，观察2组患者脑脊液漏发生率、引流管折叠率、换药总费用及换药协助率。
结果
对照组脑脊液漏4例(13.3%), 引流管道发生折叠6例(20.0%), 换药需要协助27例(90.0%)。观察组引流导管发生折叠1例(3.0%), 换药需要协助10例(30.3%)。观察组的换药总费用为(197.63±28.58)元人民币，少于对照组的(280.93±24.01)元人民币，差异有统计学意义(P < 0.05)。
结论
采用自粘性弹性绷带对脑室外引流术后患者进行伤口包扎，能降低脑脊液漏发生率、引流管折叠率、换药协助率和换药总费用，为脑室外引流术伤口包扎绷带的选用提供临床依据。
- 脑出血 /
- 脑室外引流 /
- 伤口包扎 /
- 脑脊液漏 /
- 自粘性弹性绷带 /
- 普通绷带
Abstract:
Objective
To observe the application effect of self-adhesive elastic bandage in dressing wound of external ventricular drainage.
Methods
A total of 63 patients with external ventricular drainage for cerebral hemorrhage from April 2020 to June 2022 were included, and were divided into observation and control groups according to the random number table method. In the control group, 30 patients used ordinary bandage for wound dressing; 33 patients in the observation group used self-adhesive elastic bandage for wound dressing, and the incidence of cerebrospinal fluid leakage, drain folding rate, total cost for dressing change and assistance rate of dressing change of both groups were observed.
Results
In the control group, cerebrospinal fluid leakage occurred in 4 cases (13.3%), drainage tube folding in 6 cases (20.0%), and requiring assistance for dressing change in 27 cases (90.0%). In the observation group, drainage tube folding occurred in 1 case (3.0%), and requiring assistance for dressing change in 10 cases (30.3%). The total cost of dressing change in the observation group was (197.63±28.58) yuan RMB, which was less than (280.93±24.01) yuan RMB in the control group, and the difference was statistically significant (P < 0.05).
Conclusion
The use of self-adhesive elastic bandage for wound dressing after external cerebral ventricular drainage can reduce the incidence of cerebrospinal fluid leakage, the folding rate of drainage tube, the dressing change assistance rate and the total cost of patient dressing change, and provide clinical basis for the wound dressing of external cerebral ventricular drainage.
- cerebral hemorrhage /
- external ventricular drainage /
- wound dressing /
- cerebrospinal fluid leakage /
- self-adhesive elastic bandage /
- ordinary bandage

HTML全文

表 1 2组患者脑脊液漏发生率、管道折叠率及换药协助率比较[n(%)]

组别	n	脑脊液漏	管道折叠	换药需要协助
对照组	30	4(13.3)	6(20.0)	27(90.0)
观察组	33	0^*	1(3.0)^*	10(30.3)^*
与对照组比较, *P < 0.05。

下载: 导出CSV

参考文献(14)

[1]	王陇德, 毛群安, 张宗久, 等. 我国脑卒中防治仍面临巨大挑战: 《中国脑卒中防治报告2018》概要[J]. 中国循环杂志, 2019, 34(2): 105-119. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXH201902002.htm
[2]	江荣才, 周定标, 张建宁. 加强神经外科脑脊液外引流的规范化管理[J]. 中华医学杂志, 2018, 98(21): 1635-1636. doi: 10.3760/cma.j.issn.0376-2491.2018.21.002
[3]	HEMPHILL J C 3RD, GREENBERG S M, ANDERSON C S, et al. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American heart association/American stroke association[J]. Stroke, 2015, 46(7): 2032-2040. doi: 10.1161/STR.0000000000000069
[4]	CINIBULAK Z, ASCHOFF A, APEDJINOU A, et al. Current practice of external ventricular drainage: a survey among neurosurgical departments in Germany[J]. Acta Neurochir: Wien, 2016, 158(5): 847-853. doi: 10.1007/s00701-016-2747-y
[5]	倪杨, 吴建芳, 吴琳琳, 等. 头颈外科负压引流球固定专用背心的制作及临床应用[J]. 中华护理杂志, 2017, 52(2): 243-245. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL201702034.htm
[6]	刘智明, 田永吉. 脑室外引流术后相关感染的研究进展[J]. 中华神经外科杂志, 2021, 37(10): 1078-1080. doi: 10.3760/cma.j.cn112050-20200420-00250
[7]	朱水清. 引流管护理在术后护理工作中的重要性和效果分析[J]. 实用临床医药杂志, 2015, 19(20): 164-165. doi: 10.7619/jcmp.201520059
[8]	井莉, 田丽霞, 杨思, 等. 头部伤口敷料固定贴: CN212699331U[P]. 2021-03-16.
[9]	王冠宇, 李雪阳, 李帅帅, 等. 一种医用引流管防牵拉装置的设计与应用[J]. 中华危重病急救医学, 2022, 34(6): 653-654.
[10]	庄红霞, 牛朝诗, 江雪莲, 等. 头部敷料和引流管固定装置的设计及应用[J]. 中华护理杂志, 2020, 55(7): 1111-1113.
[11]	王蓓, 陈正红, 孙文雯. 不同绷带包扎方法对乳腺癌淋巴水肿压力治疗效果的影响[J]. 护理学杂志, 2020, 35(21): 39-41. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202021012.htm
[12]	中华医学会神经外科学分会, 中国神经外科重症管理协作组. 神经外科脑脊液外引流中国专家共识(2018版)[J]. 中华医学杂志, 2018, 98(21): 1646-1649.
[13]	曹生香. 3M自粘弹力绷带在桡动脉穿刺后压迫止血中的应用[J]. 青海医药杂志, 2018, 48(11): 29-30.
[14]	朱博. 自粘性弹性绷带在学龄前儿童静脉留置中的应用研究分析[J]. 内蒙古医学杂志, 2016, 48(12): 1511-1512. https://www.cnki.com.cn/Article/CJFDTOTAL-NMYZ201612045.htm