双贴膜固定在中心静脉导管固定中的应用

[摘要] Abstract：Objective To compare the application efficacy of the single-film and double-film fixation methods in fixation of central venous catheter(CVC). Methods 〓Totally 84 patients with CVC were assigned to the control group and the study group, with 42 cases in each group. The CVC was fixed by suture and single-film technique in the control. The suture and double-film technique was used to fix the CVC in the study group. The incidence of central line-associated bloodstream infection(CLABSI), rate of catheter dislocation, time cost in the direct care and material cost were measured and compared between two groups. Results 〓There was no significant difference in incidence of CLABSI between two groups(1.18‰ vs. 1.23‰, P>0.05). The rate of catheter dislocation was 2.38%(1/42)in the study group and was 11.90%(5/42)in the control group, with a significant difference(P<0.05). It cost less time of the direct care and less money of materials in the study group than that in the control group(P<0.05). Conclusion The suture and double-film technique is effective to prevent the CVC dislocation and reduce related time and material costs.

[学科分类] 护理学

[关键词] 中心静脉导管;固定;感染;导管滑脱;ICU