[精品]90例腹膜透析病人导管感染的不同 护理方法的效果观察.doc

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1、90例腹膜透析病人导管感染的不同护理方法的效果观察90例腹膜透析病人导管感染的不同护理方法的效果观察摘耍：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

2、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，缩短创而的愈合时间，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:Toinvestigatetheeffectofperitonealdialysiscatheterexitofpatien

3、tsinfectedwithdifferentmethodsofcare・Methods:90casesofperitonealdialysiscatheterexitoftheinfectedpatientswererandomlydividedintotreatmentgroupandcontrolgroup,45cases;treatmentgroupaftertheexitofthefirstcatheterwith3%hydrogenperoxidewashwithsalinescrub,thenapply5minTcahnsilverskintobedry,andfinally

4、coatedwithBactriaointment,3Madhesivetapeonceaday;thecontrolgroup,with3%hydrogenperoxidewashwithsalinescrub,thenapplygauzepadchloramphenicolpowder5min,finallycoatedwithBactriaointment,3Madhesivetape,after28daysoftreatmenttoassessefficacy・Results:Therewerenopatientswithsecondaryperitonitis,thetreatm

5、entgroupreceivednursingintervention,thehighertherateofpaincontrol,the5dhaveahigherrateofinfectioncontrol・Thecure31cases,10casesmarkedlyeffectivethreecases,onecaseofineffective;whilethecontrolgroupcured18cases,12casesmarkedlyeffectivein11cases,4cases・Riditanalysisbytwogroups,thetreatmentgroupthanth

6、econtrolgroup（P〈0.01）;althoughthecostofthetreatmentgroupwassignificantlyhigherdressing（P〈0.01）,butthenumberofdressingchanges,theaveragelengthofstayandaveragetotalcostsbutsignificantlylowerthanthecontrolgroup・Conclusion:ThetopicalskinIcahnsilverdressingtreatmentofperitonealdialysiscatheterexitsitei

7、nfectionspatientscansignificantlyimproveinfectioncontrolrates,shortenhealingtime,reducethetotalcostoftreatment,withacertainapplicationvalue・Keywords:Peritonealdialysis;Catheterinfection;Care腹膜透析（peritonealdialysi