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国际护理学研究

International Journal of Nursing Research

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International Journal of Nursing Research. 2022; 4: (7) ; 10.12208/j.ijnr.20220348 .

Effect of elastic bandage on prevention of skin injury at the compressed part of pneumatic tourniquet
弹力绷带预防气压止血带受压部位皮肤损伤的效果观察

作者: 覃柳姬*, 杜海葵, 梁石妃, 张瑞梅, 李燕羽, 覃雪萍

广西梧州市中医医院手术室 广西梧州

*通讯作者: 覃柳姬,单位:广西梧州市中医医院手术室 广西梧州;

引用本文: 覃柳姬, 杜海葵, 梁石妃, 张瑞梅, 李燕羽, 覃雪萍 弹力绷带预防气压止血带受压部位皮肤损伤的效果观察[J]. 国际护理学研究, 2022; 4: (7) : 158-160.
Published: 2022/11/18 17:58:25

摘要

目的 分析弹力绷带预防气压止血带受压部位皮肤损伤的效果。方法 选取我院骨科的下肢手术的100例患者为研究对象,按动态随机法分组(试验组、对照组),50例/组。选取时间:2018年11月至2020年11月。两组均接受气压止血带治疗,对照组患者采用普通绷带作为衬垫,试验组患者采用弹性绷带作为衬垫。对收集数据进行统计分析后,对比两组皮肤不良反应发生情况及手术室护理人员满意度。结果 试验组治疗期间皮肤不良反应发生率低于对照组(P<0.05),分别为4.00%、18.00%;试验组手术室护理人员满意度高于对照组(P<0.05),分别为98.00%、80.00%;结论 弹力绷带能有效预防气压止血带受压部位皮肤损伤,护理人员满意度均较高,建议临床采纳。

关键词: 皮肤损伤;弹力绷带;气压止血带;效果分析

Abstract

Purpose: To analyze the effect of elastic bandage on preventing skin injury at pressure part of pneumatic tourniquet.
Methods: A total of 100 patients who underwent lower extremity surgery in our hospital were selected as the research objects, Grouping by dynamic randomization (Experimental group and control group), 50 cases/group. Select time: From November 2018 to November 2020. Both groups were treated with pneumatic tourniquet, Patients in the control group were treated with ordinary bandages as padding. Elastic bandage was used as the liner in the experimental group. After statistical analysis of the collected data, The occurrence of skin adverse reactions and the satisfaction of nursing staff in operating room were compared between the two groups.
Results: The incidence of skin adverse reactions during treatment in the experimental group was lower than that in the control group (P < 0.05).4.00% and 18.00%, respectively; The satisfaction of operating room nurses in experimental group was higher than that in control group (P < 0.05).98.00% and 80.00%, respectively;
Conclusion  : Elastic bandages can effectively prevent skin damage where the pressure tourniquet is pressed, The satisfaction of nursing staff was high. Clinical adoption is recommended.

Key words: Skin Injury; Elastic Bandage; Pneumatic Tourniquet; Effect Analysis

参考文献 References

[1] 汪子玲,晁群,陆文艳,等.3M弹力绷带联合不同敷料对脑血管造影术后股动脉穿刺部位周围皮肤的影响[J].护理与康复,2021,20(10):62-65.

[2] 王欢,胡苗苗,王慧敏,等.新型加压止血弹力绷带在全脑血管造影术后患者中的应用[J].中华现代护理杂志,2021,27(29):3994-3997.

[3] 曹良国,姚依村,王文,等.氨甲环酸局部应用联合弹力绷带对全膝关节置换术围术期失血量、膝关节肿胀及静脉血栓性疾病发生的影响研究[J].临床和实验医学杂志,2021,20(15):1655-1658.

[4] 杨佳瑞,王志猛,乔瑞,等.氨甲环酸联合弹力绷带对跟骨骨折传统L型切口术后愈合和失血量的影响[J].国际骨科学杂志,2021,42(3):183-188.

[5] 安瑛,谢亚利,冯国琴.藻酸盐敷料联合弹力绷带对PICC术后穿刺点的影响[J].上海护理,2020,20(3):48-50.

[6] 李幸,李凤妮.TR-band止血器与弹力绷带应用于桡动脉径路冠状动脉介入术后效果的Meta分析[J].护士进修杂志,2021,36(4):369-375.

[7] ERDIL, ARAS, AKBULUT, NIHAT, ALTAN, AHMET, et al. Comparison of the effect of therapeutic elastic bandage, submucosal dexamethasone, or dexketoprofen trometamol on inflammatory symptoms and quality of life following third molar surgery: a randomized clinical trial[J].Clinical oral investigations, 2021, 25(4):1849-1857.