双套管负压持续引流减少胃肠术后腹腔内感染的效果评价  

Application of double pipe for negative pressure drainage in reducing intra-abdominal infectionsafter gastrointestinal operation

作　　者：冉淑杰[1] 金续艳 

机构地区：[1]齐齐哈尔医学院附属第三医院普外一科,齐齐哈尔161000 [2]齐齐哈尔市120急救中心

出　　处：《中国实用护理杂志》2013年第7期26-28,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨双套管负压持续引流对减少胃肠术后腹腔内感染的效果。方法选择2010年1月至2012年8月就诊的胃肠术后行腹腔引流患者85例作为研究对象，将患者随机分为观察组42例和对照组43例，对照组采用传统乳胶引流，观察组采用双套管负压持续引流，观察2组患者腹腔内感染例数及细菌分布情况，患者引流时间、引流量及引流管堵塞情况。结果2组患者共有25份细菌培养阳性，2组在病菌检出例数、检出率方面比较差异有统计学意义；25份标本中共计检出病原菌39株，在葡萄球菌检出情况上比较，2组差异有统计学意义，2组患者引流液变清时间、引流液变清后再拔管所需时间、总置管时间、平均日引流量相比差异均有统计学意义。结论双套管负压引流术用于腹腔术后的持续引流，能有效减少腹腔感染，缩短引流时间，效果较好。Objective To discuss application of double pipe for negative pressure drainage in re- ducing intra-abdominal infections after gastrointestinal operation. Methods 85 patients with intra-ab- dominal drainage after gastrointestinal operation were randomly divided into the control group （43 pa- tients） and the observation group（42 patients）. The control group hsed traditional latex drainage, the obser- vation group took the double cannula negative pressure continued drainage. The intra-abdominal infection and bacterial number distribution, patients drainage time, drainage volume and drainage tube occlusion were observed. Results 25 bacterial cultures were positive in two groups of patients. Compared between the two groups, the bacterial number detection rate were significant. 31 pathogenic bacteria were detected in 25 specimens. Compared between these two groups, staphylococcus aureus, cleariag time of drainage, drawing tube time after drainage liquid being clear, the total catheterization time, average daily drainage volume were all sig- nificantly different. Conclusions Double pipe negative pressure drainage for postoperative abdominal drainage can effectively reduce abdominal infection, shorten drainage time, and its effect is very good.

关 键 词：双套管负压持续引流 术后引流 腹腔感染 护理 

分 类 号：R473.6[医药卫生—护理学]