摘要
目的探讨灭菌凡士林油纱在新生儿后矢状入路手术中的应用效果。方法随机将2012年1月-2015年6月间80例后矢状入路新生手术患儿分为对照组和实验组，每组各40例。2组患儿摆放体位的方法和用物相同，实验组术中增加使用灭菌凡士林油纱保护患儿骨突和受压部位皮肤，对照组患儿骨突和受压部位皮肤不用灭菌凡士林油纱，以并发症发生率为观察指标进行统计分析，对比2组手术术后患儿皮肤状况。结果参照新6期压疮分期标准，对照组的40例患儿中有3例患儿发生了I度压疮，5例患儿发生了压之褪色的压红，而实验组中却只有1例发生压之褪色的压红，未发生压疮。实验组的皮肤并发症发生率明显低于对照组，2组比较差异有统计学意义（P〈0．05）。结论灭菌凡士林油纱在新生儿后矢状入路手术中的应用效果明显，能有效保护新生儿皮肤，降低新生儿后矢状入路手术术中压疮发生率。
Objective To study the application effect of sterilized Vaseline gauze in neonatal surgery from the back sagittal approach and re- duce the incidence of pressure sores. Methods 80 cases of neonatal surgery from the back sagittal approach were divided into the control group of 40 cases and experimental group of 40 eases randomly from 2012 January to 2015 June. Two groups of newborn children used the same position methods and position pads, the experimental group added to use the sterilized vaseline oil gauze to protect the apophysis and compression area but the control group didn＇t. At last, we took postoperative skin complication rates as the observation indexes, analyzed and compared skin conditions of two groups. Results According to the new 6 stage pressure sore staging criteria,3 cases occurred pressure ulcers of stage I in 40 patients in the control group ,5 cases occurred the faded red pressure ,while only a case occurred the faded red pressure in the experimental Group. There was no pressure ulcer occured. The skin complications of the experimental group were significantly lower than the control group, there was statistically significant difference between the two groups （ P 〈 0.05 ）. Conclusion The application effect of sterilized vaselfne oil gauze is certain in neonatal surgery from the back sagittal approach. This can protect the skin of newborn effectively and reduce the incidence of pressure sores.
关键词
灭菌凡士林油纱
新生儿
后矢状入路
应用效果
Sterilized vaseline oil gauze
The newborn
From the back sagittal approach
The application and effect discussion
