醋酸氯己定碘消毒液在跟骨牵引患者针眼护理中的应用

醋酸氯己定碘消毒液在跟骨牵引患者针眼护理中的应用
刘梅;陆希;陈曦;杨菁
【期刊名称】《中华现代护理杂志》
【年(卷),期】2017(023)002
【摘要】Objective To explore the application effect of chlorhexidine acetate disinfectant in pin site care of the patients with calcaneal traction.Methods From January 2014 to December 2015,85 cases of patients with calcaneal traction were selected as the research object by purpose sampling method, and were divided into the control
group(n=42)and the intervention group(n=43)according to admission time. Patients in two group all received closed nursing for pin site care. Patients in the control group used povidone iodine disinfectant,while patients in the intervention group used chlorhexidine acetate disinfectant. We estimated the infection rate of the patients in two groups.Results During the period of calcaneal traction, there was no pin site infection over level IV happened in two groups. In the first day after calcaneal traction, there was no difference in the infection rate between two groups(P>0.05). In the third day,the fifth day after calcaneal traction and the day before internal fixation,the incidence rate and the level of pin-site infection in the intervention group were lower than those in the control group(Z=-3.214,-2.662,-3.094,P<0.05). Conclusions Chlorhexidine acetate disinfectant can decrease the infection rate of pin site in patients with calcaneal traction
under closed nursing. It provides an effective nursing method for preventing the infection of pin site.%目的探讨醋酸氯己定碘消毒液在跟骨牵引患者针眼护理中的应用效果.方法 2014年1月—2015年12月采用目的抽样法选择85例行跟骨牵引的患者,将患者按入院时间分为对照组(n=42)和干预组
(n=43),两组均采用密闭式针眼护理法进行针眼护理,对照组使用聚维酮碘消毒液,干预组采用醋酸氯己定碘消毒液进行针眼消毒,观察两组患者牵引针眼的感染情况.结果牵引期间,干预组和对照组均未发生Ⅳ级及以上针眼感染.牵引术后第1天,两组患者针眼感染发生情况差异无统计学意义(P>0.05),牵引术后第3天、第5天和内固定术前1 d,干预组发生针眼感染的患者及感染程度均低于对照组,差异有统计学意义(Z值分别为-3.214,-2.662,-3.094,P<0.05).结论使用醋酸氯己定碘消毒液对跟骨牵引患者进行密闭式针眼护理,能够降低患者针眼感染的发生率,为预防针眼感染提供有效的护理方法.
【总页数】3页(P209-211)
【作者】刘梅;陆希;陈曦;杨菁
【作者单位】210029 南京医科大学第一附属医院骨科;210029 南京医科大学第一附属医院骨科;210029 南京医科大学第一附属医院骨科;210029 南京医科大学第一附属医院骨科
【正文语种】中文
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