3M液体敷料联合75%酒精消毒对经外周静脉置入中心静脉导管患儿过敏情况及置管时间的影响

卢欣; 李鑫; 冯晓艳; 丁燕红

doi:10.7619/jcmp.201912032

3M液体敷料联合75%酒精消毒对经外周静脉置入中心静脉导管患儿过敏情况及置管时间的影响

Influence of 3M liquid dressing combined with 75% alcohol disinfection on the allergic conditions and catheterization time in children with peripherally inserted central catheters

摘要

摘要:
目的探讨3M液体敷料联合75%酒精消毒对经外周静脉置入中心静脉导管(PICC)患儿过敏情况及置管时间的影响。
方法将2015年9月—2016年11月收诊的45例PICC置管患儿设为对照组, 每次更换敷料时采用75%酒精消毒联合地塞米松原液喷涂; 将2016年12月—2018年2月收诊的45例PICC置管患儿设为研究组，每次更换敷料时采用75%酒精消毒联合3M液体敷料喷涂。比较2组患儿在置管后2周内敷贴处皮肤过敏情况、置管后2周各项相关指标。
结果研究组敷贴处皮肤过敏率低于对照组，伤口愈合时间短于对照组，渗血、静脉炎发生率低于对照组，差异有统计学意义(P < 0.05)。
结论采取3M液体敷料联合75%酒精消毒能降低PICC置管小儿敷贴处皮肤过敏率，延长置管时间，降低并发症发生率。

Abstract:
Objective To explore influence of 3M liquid dressing combined with 75% alcohol disinfection on the allergic conditions and catheterization time in children with peripherally inserted central catheters (PICC).
Methods Forty-five children with PICC from September 2015 to November 2016 were selected as control group, and were treated with 75% alcohol disinfection combined with dexamethasone spraying for dressing change. Forty-five children with PICC from December 2016 to February 2018 were selected as study group, and were treated with 75% alcohol disinfection combined with 3M liquid dressing for dressing change. Skin allergy and the related indicators after 2 weeks of catheterization were compared between two groups.
Results The skin allergy rate of the study group was significantly lower than that of the control group, the wound healing time was significantly shorter than that of the control group, and the incidence rates of bleeding and phlebitis were significantly lower than those of the control group (P < 0.05).
Conclusion For children with PICC, application of 3M liquid dressing combined with 75% alcohol disinfection can reduce skin allergy rate, prolong catheterization time and reduce the incidence rate of complications.

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