胸腹腔引流管切口愈合不良患者影响因素的Logistic分析  

Logistic analysis on influencing factors of poor incision healing of thoracic and abdominal drainage tube

作　　者：刘鹂[1] 周敏[1] 钟先利[1] 李季[1] Liu Peng Zhou Min Zhong Xianli Li Ji(Department of Cardio-Thoracic Surgery, the First People＇s Hospital of Neij＇iang, Neijiang 641000, China)

机构地区：[1]四川省内江市第一人民医院心胸外科,641000

出　　处：《中华现代护理杂志》2016年第25期3629-3632,共4页Chinese Journal of Modern Nursing

摘　　要：目的：调查胸腹腔引流管切口愈合不良发生率，探讨与其相关的高危因素。方法选取2013年4月—2014年6月四川省内江市第一人民医院行胸腹腔术后置引流管患者350例，采用自行设计的造成胸腹腔引流管拔出后切口预后不良的相关因素调查表进行临床调查，采集患者性别、年龄、是否使用激素、抗凝药、置管期间渗液量、拔管后渗液时长等资料，分析影响其预后的相关因素。结果共有67例患者发生了胸腹腔引流管切口愈合不良，发病率为19.1％。 Logistic统计分析显示，带管出院（OR＝20.126）、拔管后渗液量（OR＝2.689）、拔管后渗液时长（OR＝62.302）、非计划拔管（OR＝42.521）、血清白蛋白水平（ OR＝46.063）是引起引流管切口愈合不良的高危因素。结论胸腹腔手术后置引流管的患者，带管出院、拔管后渗液量过高、拔管后渗液时间过长、非计划拔管、血清白蛋白水平过低是其发生切口愈合不良的高危因素，医务工作者应当对此类患者予以高度重视，通过早期干预和护理，减少患者切口愈合不良的发病率。Objective To investigate the incidence of poor incision healing of thoracic and abdominal drainage tube and to explore the related high risk factors. Methods We recruited 350 patients with drainage tube after thoracic and abdominal surgery in the First People′s Hospital of Neijiang from April 2013 to June 2014. We designed the questionnaire of influencing factors related to poor incision healing after removal of thoracic and abdominal drainage tube to investigate in clinic. We collected data on the gender, age, use of hormone and anticoagulant drug （ yes or not） , volume of exudation during intubation, length of exudation after extubation and so on in patients and analyzed the influencing factors of prognosis. Results There were 67 patients with poor incision healing of thoracic and abdominal drainage tube with the incidence of 19.1%. The logistic statistical analysis showed that the high risk factors of poor incision healing of thoracic and abdominal drainage tube included discharging with tube （OR=20.126）, the volume of exudation after extubation （OR=2.689） , length of exudation after extubation （ OR=62.302） , unplanned extubation （ OR=42.521） , the level of blood albumin （OR=46.063）.Conclusions The high risk factors of poor incision healing include discharging with tube, a large mount of exudation after extubation, long time of exudation after extubation, unplanned extubation, a low level of blood albumin in patients with drainage tube after thoracic and abdominal surgery. Medical workers should pay more attention to these patients and carry out early intervention and nursing care to reduce the incidence of poor incision healing of patients.

关 键 词：引流管切口 愈合不良 因素分析 

分 类 号：R473.6[医药卫生—护理学]