Limb Orthopedic Surgery Ward 2, Tianjin Hospital, Tianjin 300211, China.
Comput Intell Neurosci. 2022 Jul 9;2022:6299435. doi: 10.1155/2022/6299435. eCollection 2022.
In the medical domain, needle-track nursing especially after 2 percent chlorhexidine gluconate gauze pressure bandaging is a challenging issue and needs a timely response from the research community. In this research paper, a total of 213 patients who met the inclusion and exclusion criteria after external fixation with 2% chlorhexidine gluconate gauze pressure bandaging in the second orthopaedic ward from March 2018 to December 2017 were selected and randomly divided into three groups, each with 71 cases. For needle tract care, various intervention strategies are used. Gauze pressure bandage with 2% chlorhexidine gluconate is in Group A. In group B, BID was cleaned with a sterile cotton swab containing 2 percent chlorohexanol gluconate. BID uses a 75 percent alcohol sterile cotton swab wipe for basic needle maintenance. The intervention measures suggested by each group were provided to the three groups. Finally, the effects and differences of the intervention measures used by the three groups on the infection rate of the needle tract after external fixation and patient pain scores were examined. It is worth noting that chlorhexidine disinfectant has not only evident and quick germicidal effects but also long-term bacteriostatic efficiency against germs that are difficult to develop drug resistance to. The nursing technique of chlorhexidine pressure bandaging the needle tract minimises the risk of infection, particularly severe needle tract infection. The compression bandage group had a considerably lower rate of needle tract infection than the other two groups (0.05), according to the statistics. The pain score in the pressure bandaging group was significantly lower than the other two groups after intervention (0.05), notably in the typical alcohol disinfection group. The use of 2 percent chlorhexidine gluconate alcohol gauze pressure dressing nursing measures can minimise the rate of needle tract infection following external fixator surgery, as well as the pain and satisfaction of patients. The needle tract nursing technique offers clinical and promotional value.
在医学领域，尤其是在使用 2%葡萄糖酸氯己定纱布加压包扎后，针道护理是一个具有挑战性的问题，需要研究界及时做出反应。在这项研究中，共选取了 2018 年 3 月至 2017 年 12 月在第二骨科病房行 2%葡萄糖酸氯己定纱布加压包扎外固定术的符合纳入和排除标准的 213 例患者，将其随机分为三组，每组 71 例。针对针道护理，采用了不同的干预策略。在 A 组，采用 2%葡萄糖酸氯己定纱布进行加压包扎。B 组采用含 2%氯己定葡萄糖酸的无菌棉签进行 BID 清洗。BID 采用 75%酒精无菌棉签擦拭进行基本的针道维护。为三组提供了每组建议的干预措施。最后，检查了三组患者外固定后针道感染率和患者疼痛评分的干预措施效果和差异。值得注意的是，氯己定消毒剂不仅具有明显、快速的杀菌作用，而且对难以产生耐药性的细菌具有长期的抑菌作用。氯己定压力包扎针道的护理技术降低了感染风险，特别是严重的针道感染风险。统计结果显示，与其他两组相比，压迫包扎组的针道感染率明显较低（0.05）。干预后，压迫包扎组的疼痛评分明显低于其他两组（0.05），特别是在典型的酒精消毒组。使用 2%葡萄糖酸氯己定酒精纱布加压包扎护理措施可降低外固定器术后针道感染率，减轻患者的疼痛和提高满意度。针道护理技术具有临床推广价值。
