Evaluation of an external fixation bag of dialysis catheter without medical gluein temporary internal jugular vein hemodialysis catheter
一种不含医用黏胶的透析导管体外固定袋在临时性颈内静脉血透导管中的应用效果评价

摘要

目的 探讨一种不含医用黏胶的透析导管体外固定袋在临时性颈内静脉血透导管中的应用效果评价。方法 对40例在本透析中心行颈内静脉临时双腔导管置入的透析患者进行随机分为观察组和对照组，对照组传统无菌纱布包裹、医用胶布粘贴固定，观察组专用导管固定袋固定。结果 观察组导管固定处的医用黏胶相关性皮肤损伤发生率低于对照组（χ2=240，P＜0.001）；观察组患者对导管固定的稳定性高于对照组（χ2=117.6，P＜0.001），观察组满意度明显优于对照组（M=11.1978，P单侧＜0.005）。结论 使用此血液透析导管体外固定袋操作简单，固定牢固，是一种美观舒适的血液透析临时性颈内静脉导管固定方式，并有效避免医用黏胶相关性皮肤损伤，提高导管固定稳定性、患者舒适度和满意度。

Abstract

Objective To evaluate the application effect of a dialysis catheter external fixation bag without medical glue in temporary internal jugular vein hemodialysis catheter.
Methods 40 dialysis patients who underwent temporary double lumen catheter placement of internal jugular vein in this dialysis center were randomly divided into observation group and control group. The control group was wrapped with traditional sterile gauze and fixed with medical adhesive tape, and the observation group was fixed with special catheter fixing bag.
Results the incidence of medical adhesive re- lated skin injury in the observation group was lower than that in the control group (χ2=240, P<0.001); The stability of catheter fixation in the observation group was higher than that in the control group (χ2=117.6, P<0.001), and the satisfac- tion of the observation group was significantly better than that in the control group (M=11.1978, P<0.005).
Conclusion   the use of this hemodialysis catheter external fixation bag has the advantages of simple operation and firm fixation. It is a beautiful and comfortable temporary fixation method of hemodialysis internal jugular vein catheter, which can effectively avoid medical adhesive related skin damage and improve the stability of catheter fixation, patient comfort and satisfaction.