新型加压绷带在腰椎术后脑脊液漏病人中的临床应用

目的 探讨自行设计的新型加压绷带在腰椎术后脑脊液漏病人中的临床应用。方法 选取2021年4月至2022年4月我科腰椎术后脑脊液漏病人42例，应用随机数字表法分为观察组和对照组，每组21例。观察组脑脊液漏病人使用自行设计的新型加压绷带加压包扎治疗，对照组使用普通腹带加压包扎治疗。观察两组病人加压包扎护理耗时、引流管留置时间和加压包扎处的皮肤情况。结果 观察组加压包扎护理耗时和引流管留置时间均较对照组明显缩短［（1.12±0.24）分 vs. （6.74±1.43）分；（5.09±1.12） d vs. （7.18±1.16） d］，差异均有统计学意义（P＜0.001）。观察组加压包扎处皮肤无异常；对照组发生皮肤异常9例（42.86%），其中红肿4例、水疱1例、破皮4例。结论 新型加压绷带有助于提高加压包扎的护理效果，缩短加压包扎护理耗时和引流管留置的时间，明显改善病人加压包扎处的皮肤状况，极大地降低了护理不良事件的发生，促进了病人术后的康复。

Application of A New Compression Bandage in Patients with Cerebrospinal Fluid Leakage after Lumbar Surgery

Objective To explore the clinical application of a new compression bandage designed and made by ourselves. Methods A total of 42 patients with cerebrospinal fluid leakage after lumbar surgery treated in our spine center from April 2021 to April 2022 were selected. They were divided into an observation group and a control group using a random number table method, with 21 cases in each group. The patients with cerebrospinal fluid leakage in the observation group were treated with self-designed compression bandage, while the control group was treated with common abdominal band. The nursing bandage time, drainage tube retention time, and the local skin condition of patients were observed. Results The observation group showed significantly shorter nursing bandage time and drainage tube retention time than the control group ［(1.12±0.24) points vs. (6.74±1.43) points; (5.09±1.12) d vs. (7.18±1.16) d］ (P＜0.001). The observation group showed no abnormalities in the skin. There were 9 cases (42.86%) of skin abnormalities in the control group, including 4 cases of redness and swelling, 1 case of blister, and 4 cases of skin rupture. Conclusion The new compression bandage helps improve the nursing effect of compression bandage, shorten the nursing time of compression bandage and drainage tube retention time, significantly improve the skin condition of patients, greatly reduce the occurrence of nursing adverse events, and promote postoperative recovery of patients.