目的探讨高举平台结合3M透明敷料固定鼻胃管用于脑卒中患者的应用效果。方法将2011年1月-2013年1月神经内科118例留置鼻胃管的脑卒中患者，按照抽签法分为对照组和观察组各59例，对照组采用传统的管道固定方法，观察组采用高举平台结合3M透明敷料固定方法，比较两组患者更换胶布间隔时间、更换胶布耗时、鼻胃管滑脱率、鼻胃管压疮发生率和患者舒适度。结果观察组患者更换胶布间隔时间较长，更换胶布耗时较短，鼻胃管滑脱率较低，差异均有统计学意义（P〈O．05），观察组患者压疮发生率低于对照组，舒适度评价高于对照组，差异均有统计学意义（P〈0．05）。结论高举平台结合3M透明敷料固定鼻胃管具有良好的固定效果，不易发生压疮，降低护理耗时和工作量，增加患者的舒适度，是一种较好的鼻胃管固定方法。

Objective To investigate the effect of lift platform with 3M transparent dressing on fixing nasogastric tubes for stroke patients. Methods From January 2011 to January 2013, 118 stroke patients were divided into control group ( n=59) in which traditional pipeline fixing was applied and observation group (n=59) in which lift platform with 3M transparent dressing fixation was used. The interval and length of tape replacement, slippage rate of nasogastric tube, incidence of nasal pressure ulcer and comfort of patients were compared in two groups. Results In observation group, there were longer interval and shorter time for tape replacement and lower incidence of nasogastric tube slippage (P<0.05). The incidence of nasal pressure ulcer was lower and patients were more comfortable (P<0.05). Conclusion With lower incidence of nasal pressure ulcer, lift platform with 3M transparent dressing fixation of nasogastric tube has good effect on fixing nasogastric tubes, which reducing nursing time a

目的观察康惠尔水胶体敷料结合3M透明薄膜贴对导尿管固定的效果。方法将我科首次导尿的患者，随机分为两组各60例。观察组将康惠尔水胶体敷料和3M透明薄膜贴将导尿管固定于康惠尔水胶体敷料及周围皮肤上。对照组组用普通胶布将导尿管蝶形固定于患者大腿内侧，比较两组患者的皮肤压疮情况。结果观察组发生局部皮肤压疮明显少于对照组，差异显著（P<0.01）。结论此方法能有效减少导尿管固定时所致的压疮，值得推广。

Objective: to observe the Kang Huier hydrocol oid dressings combined with transparent film 3 m stick to catheter fixation effect. Methods:patients were randomly divided into two groups (n=60). Observation group Kang Huier hydrocol oid dressings transparent film combined with 3 m stick. Controlled way using ordinary adhesive patients with catheter thumb. Results:the local skin pressure sores observation group was obviously less than control group (P < 0.01). Conclusion: this method can effectively reduce catheter fixed when caused by pressure ulcers.

目的探讨改良护眼法在新生儿蓝光治疗中保护新生儿眼部的效果。方法选择新生儿病理性黄疸儿120例,随机分为改良组60例与对照组60例,改良组采用自制眼罩加用医用纱布敷料包裹,再在紧贴双眼部一面两侧各滴1~2滴妥布霉素眼药水湿润后遮盖双眼部,对照组采用自制眼罩直接遮盖眼部,两组均采用3M胶布固定。对比2组患儿光疗24 h后眼部皮肤红肿、皮疹和眼睛分泌物的发生率。结果改良组的发生率明显低于对照组,2组差异具有统计学意义(p0.05)。结论采用改良护眼法可有效保护眼睛,避免局部皮肤出现红肿、皮疹及眼部分泌物,提高患儿舒适感,推进优质护理服务。

Objective To explore the effect of the application of the modified eye shield in neonatal phototheraphy . Methods 120 neonates with jaundice were chosen and randomly divided into two groups (60 each).Control group was only applied to normal eye shield, while the improved group used the modified eye shield, wrapping with gauze, and then mositen the eyes with 1~2 Tobramycin eye drops on each side.Both groups were fixed with 3M tapes.After a 24 -hour photothera-py, the incidence rate of reseola, skin rash and eye secretions were compared.Results The improved group has better pro-tective effect and the difference between these two groups is of great statiscally significance(p<0.05).Conclusion The ap-plication of modified eye shield could effectively protect their eyes from neonatal roseola, skin rash and eye secretions, im-prove the feeling of comfort and promote high quality nursing service .

目的 探讨医用网状弹力绷带固定小儿静脉留置针在临床应用的效果.方法 将100例住院需要静脉输液的患儿纳入观察对象,随机分为观察组和对照组,对照组采用3M透明贴膜常规固定留置针,观察组采用3M透明贴膜加医用弹力绷带固定留置针.观察两组患儿家属的满意度,留置针留置≥3天的比例及平均留置时间,穿刺处红、肿、热、痛、液体渗出、导管脱出的发生率.结果 两种方法中,应用医用弹力网状绷带固定四肢和头部留置针患儿家属的满意度高.观察组中留置针保留天数≥3天较对照组的比例高,观察组留置针平均留置时间较对照组长,两组差异有统计学意义（P＜0.05）.观察组的脱管率较对照组低.结论 使用医用弹力绷带固定静脉留置针,能妥善固定留置针,延长留置针留置时间,其效果明显优于传统的胶布固定方法.该方法不仅可以减轻患儿痛苦,也减少了医护人员的工作量,提高护理质量,有效提高了患者的满意度,减少护患间纠纷.

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目的探讨表麻下行泪道探通联合置管术治疗复发性新生儿泪囊炎的临床疗效。方法回顾性分析我科2010年10月至2011年5月行泪道探通联合置管术治疗复发性新生儿泪囊炎38例（46只眼）。所有患儿术前均行泪道冲洗联合妥布霉素滴眼液治疗1周以上，泪道溢泪伴脓性分泌物症状未见好转或加重。以盐酸丙美卡因作泪道局部麻醉，7号泪道探针由下泪点进入泪道探通，直径约0.6mm的毛细硅胶管套在5号泪道探针上由下泪小点置入探通的泪道，置入深度约为6-8c m，毛细硅胶管外端残留约2c m并用胶布固定于皮肤上。术后给予妥布霉素眼液点眼，同时1：1000妥布霉素生理盐水每天一次冲洗。毛细硅胶管留置约2天（6-12月龄大），拔出毛细硅胶管后行泪囊区按摩。结果38例患者(46眼)手术治愈43眼,好转3眼,无效0眼。所有患者在置管1天后溢泪明显,均无眼部刺激症状或过敏症状发生，所有患眼1周后溢泪症状均明显减轻，泪道冲洗通畅，但仍有少许分泌物。3月后所有患者均无溢泪症状，泪道冲洗通畅，无分泌物。结论表麻下行泪道探通联合置管术治疗复发性新生儿泪囊炎是一种比较简单有效且恢复较快的手术。

Objective:To investigate the clinical efficacy of the lacrimal duct probing catheterization under local anesthesia for recurrent neonatal dacryocystitis.Methods:Lacrimal joint Tobramycin eye drops treatment for more than 1 weeks for all patients before surgery, the symptoms did not improve or worsen. Local anesthesia by proparacaine hydrochloride,use the 7th lacrimal probe by tears point and the diameter of about 0.6mm capillary silicone tube into the lacrima,the depth is about 6-8cm. Tobramycin eye drops and 1:1000 tobramycin saline once a day after operation. The capillary indwelling silicone tube about 2 days ( 6-12 months old ).Results:In 38 patients ( 46 eyes ) operation 43 eyes were cured, 3 improved eye, ineffective in 0 eyes.1 day shed tears; 1 weeks symptoms were significantly reduced,;after March, all patients had no symptoms.Conclusion:It is safe and effective to do the lacrimal passage joint catheter under local anesthesia for recurrent neonatal dacryocystitis.