儿童多导睡眠呼吸监测电极固定方法与传统临床固定方法效果比较(1)
摘 要：目的 針对儿科特点通过临床实践总结儿童多导睡眠呼吸监测电极的固定方法。方法 选取2014年1月～2017年12月我院80例多导睡眠监测儿童，采用数字随机表法分为实验组和对照组，每组40例。实验组采用经我科改良后的电极固定方法进行导联线固定，对照组按照传统临床导线固定操作方式进行固定，两组患者均让闭眼静卧，测试电极阻抗，阻抗通过开始监护。监护过程定时巡视，观察电极波形及电极固定情况，监测结束，拆除电极。比较两组儿童监护过程中电极脱落的概率；拆除电极时的疼痛程度；面部皮肤的损伤情况。结果 比较实验组比对照组电极贴固定可靠，电极脱落的几率大大减少，差异有统计学意义(P<0.05)；比较实验组因粘帖的胶布长短相对固定，粘帖方向符合生理特点及电极线的走形方向。拆除电极时患儿的疼痛减少，差异有统计学意义(P<0.05)；实验组黏贴的胶布长短适中，一条胶布固定一个电极，不会因为胶布过长或者是黏贴过多，而引起拆除时因撕扯导致患儿皮肤发红甚至破溃的现象。结论 实验组比对照组电极贴固定牢靠，电极脱落的几率大大减少，拆除电极时患儿的疼痛明显减少，面部皮肤无损伤。
, 百拇医药
关键词：儿童；睡眠呼吸监测；导联线固定；监护
中图分类号：R473.72 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.20.056
文章编号：1006-1959(2018)20-0177-03
Abstract：Objective To summarize the fixation methods of polysomnography respiratory monitoring electrode in children according to the pediatric characteristics through clinical practice.Methods 80 children with polysomnography were enrolled in our hospital from January 2014 to December 2017.The patients were divided into experimental group and control group by digital random table method， 40 cases in each group.The experimental group was fixed by the improved electrode fixation method.The control group was fixed by the traditional clinical wire fixation method.The patients in both groups were left to lie still with closed eyes.The electrode impedance was measured and monitored.During the monitoring，regular inspection was carried out to observe the electrode waveform and electrode fixation，and the electrode was removed after monitoring.The probabilities of electrode shedding，the degree of pain when the electrode was removed，and the facial skin damage were compared between the two groups.Results Compared with the control group， the electrode of the experimental group was reliable and the probability of electrode shedding was greatly reduced，the difference was statistically significant(P<0.05).In the comparative experimental group，the length of the adhesive tape was relatively fixed，and the direction of the adhesive was in accordance with the physiological characteristics and the direction of the electrode line.The pain of the children was reduced when the electrodes were removed，and the difference was statistically significant(P<0.05).The length of the adhesive tape applied in the experimental group was moderate，and one adhesive tape fixed one electrode，which would not be caused by the adhesive tape being too long or too much adhesive.When the tear is removed，the skin of the child is red or even broken. Conclusion Compared with the control group， the experimental group was firmly fixed，and the probability of electrode shedding was greatly reduced.The pain of the children was significantly reduced when the electrode was removed，and the facial skin was not damaged., 百拇医药(孙美华 马静 高丽)
, 百拇医药
关键词：儿童；睡眠呼吸监测；导联线固定；监护
中图分类号：R473.72 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.20.056
文章编号：1006-1959(2018)20-0177-03
Abstract：Objective To summarize the fixation methods of polysomnography respiratory monitoring electrode in children according to the pediatric characteristics through clinical practice.Methods 80 children with polysomnography were enrolled in our hospital from January 2014 to December 2017.The patients were divided into experimental group and control group by digital random table method， 40 cases in each group.The experimental group was fixed by the improved electrode fixation method.The control group was fixed by the traditional clinical wire fixation method.The patients in both groups were left to lie still with closed eyes.The electrode impedance was measured and monitored.During the monitoring，regular inspection was carried out to observe the electrode waveform and electrode fixation，and the electrode was removed after monitoring.The probabilities of electrode shedding，the degree of pain when the electrode was removed，and the facial skin damage were compared between the two groups.Results Compared with the control group， the electrode of the experimental group was reliable and the probability of electrode shedding was greatly reduced，the difference was statistically significant(P<0.05).In the comparative experimental group，the length of the adhesive tape was relatively fixed，and the direction of the adhesive was in accordance with the physiological characteristics and the direction of the electrode line.The pain of the children was reduced when the electrodes were removed，and the difference was statistically significant(P<0.05).The length of the adhesive tape applied in the experimental group was moderate，and one adhesive tape fixed one electrode，which would not be caused by the adhesive tape being too long or too much adhesive.When the tear is removed，the skin of the child is red or even broken. Conclusion Compared with the control group， the experimental group was firmly fixed，and the probability of electrode shedding was greatly reduced.The pain of the children was significantly reduced when the electrode was removed，and the facial skin was not damaged., 百拇医药(孙美华 马静 高丽)