Abstract: Objective　To explore the application effect of chlorhexidine gluconate antibacterial transparent dressing in patients after lumbar cistern catheterization and its influence on infection rate. Methods　A total of 70 patients (39 males and 31 females, with an average age of 38.0) after lumbar cistern catheterization at Guangdong 999 Brain Hospital from January 2019 to May 2020 were selected and divided into a control group and a study group by the random number table method, with 35 patients in each group. The control group took the conventional fixation method, and the study group was fixed with chlorhexidine gluconate antibacterial transparent dressing. The occurrences of tube removal, internal drainage tube obstruction, unplanned extubation, skin allergy symptoms, intracranial infection, and cerebrospinal fluid leakage in the two groups within 48 hours were observed. The χ² was applied. Results　The incidences of tube removal, unplanned extubation, skin allergy symptoms, intracranial infection, and cerebrospinal fluid leakage in the study group were lower than those in the control group [2.9% (1/35) vs. 8.6% (3/35), 2.9% (1/35) vs. 11.4% (4/35), 5.7% (2/35) vs. 45.7% (16/35), 2.9% (1/35) vs. 11.4% (4/35), and 0 vs. 8.6% (3/35); all P<0.05]. Conclusion　The application of chlorhexidine gluconate antibacterial transparent dressing in lumbar cistern catheterization can effectively reduce the incidence of tube removal, internal drainage tube obstruction, unplanned extubation, skin allergy symptoms, intracranial infection, and cerebrospinal fluid leakage within 48 hours, and has high safety and ideal effect, so it is worthy of promotion and application.

Key words:

"> Chlorhexidine gluconate antibacterial transparent dressing, Lumbar cistern catheterization, Application effect, Infection rate

摘要： 目的　探究葡萄糖酸氯己定抗菌透明敷料在腰大池置管术后患者中的应用效果及对感染率的影响。方法　选取2019年1月至2020年5月广东三九脑科医院收治的腰大池置管术后患者70例，男39例，女31例，平均年龄38.0岁。随机数字表法分为对照组和研究组，每组35例。对照组使用常规固定方法，研究组利用葡萄糖酸氯己定抗菌透明敷料固定。观察两组患者48 h内脱管、内引流管阻塞、非计划性拔管、皮肤过敏症状、颅内感染、脑脊液渗漏发生情况。采用χ²检验。结果　研究组48 h内脱管、非计划性拔管、皮肤过敏症状、颅内感染、脑脊液渗漏发生率均低于对照组［2.9%（1/35）比8.6%（3/35）、2.9%（1/35）比11.4%（4/35）、5.7%（2/35）比45.7%（16/35）、2.9%（1/35）比11.4%（4/35）、0比8.6%（3/35），均P<0.05］。结论　将葡萄糖酸氯己定抗菌透明敷料应用于腰大池置管术后中能够有效降低48 h内脱管、内引流管阻塞、非计划性拔管、皮肤过敏症状、颅内感染、脑脊液渗漏的发生率，具有较高的安全性和理想效果，值得推广应用。

关键词: 葡萄糖酸氯己定抗菌透明敷料, 腰大池置管术, 应用效果, 感染率