内科理论与实践2026,Vol.21Issue(3):240-245,6.DOI:10.16138/j.1673-6087.2026.03.06
新型腹膜透析导管固定腰带的临床应用效果观察
Clinical application of a novel belt for securing peritoneal dialysis catheters
摘要
Abstract
Objective To investigate the clinical application effect of a new type of peritoneal dialysis(PD)catheter holder belt.Methods From July 2023 to April 2024,100 long-term follow-up PD patients in a tertiary hospital in Shanghai were randomly divided into an observation group of 50 patients and a control group of 50 patients.In the observation group,the novel PD belt was used to secure the catheter,and the exit site was covered with a sterile gauze with an opening.In the control group,a traditional PD belt was used to secure the catheter,and the exit site was covered with a sterile dressing(6 cm×7 cm).The 2 groups were evaluated at 1,7,30,and 90 days after intervention using the exit-site scoring system and the"Clinical Application Questionnaire of the PD Catheter Holder Belt".Results The observation group was significantly superior to the control group in terms of the incidence of medical adhesive-related skin injury(MARSI)around the exit site,the incidence of catheter bending and catheter traction,the convenience of PD fluid exchange,and the cost of consumables(all P<0.05).Conclusions The use of the novel PD belt can reduce the incidence of MARSI around the exit site,effectively ensure the safety of the PD catheter,and reduce the economic cost of PD catheter exit-site care.关键词
腹膜透析/出口处评分/医用黏胶相关性皮肤损伤Key words
peritoneal dialysis/exit-site scoring/medical adhesive-related skin injury分类
医药卫生引用本文复制引用
卫诺,黄晓敏,张春燕,陈伟红..新型腹膜透析导管固定腰带的临床应用效果观察[J].内科理论与实践,2026,21(3):240-245,6.基金项目
上海交通大学医学院附属瑞金医院护理专项基金(RJHK2023-036) (RJHK2023-036)