尿路造口袋连接一次性引流袋对胃肠肿瘤术后患者腹腔引流的影响  

Effects of urinary ostomy bag connected with disposable drainage bag on postoperative abdominal drainage in patients with gastrointestinal neoplasms

作　　者：谢志芬[1] 魏清风[2] 郑晓玲 蔡玉莲[4] 龚湖萍 张世慧[1] 

机构地区：[1]南昌大学护理学院,330000 [2]江西省肿瘤医院癌症中心,南昌330000 [3]天津医科大学肿瘤医院胃部肿瘤科,300040 [4]江西省肿瘤医院胃肠外科,南昌330000

出　　处：《重庆医学》2017年第29期4054-4056,共3页Chongqing medicine

基　　金：国家临床专科重点建设基金资助项目(2012649);江西省科技计划基金资助项目(20151BBG70139);江西省卫计委科技计划基金资助项目(20171119)

摘　　要：目的探讨胃肠肿瘤术后腹腔引流采用尿路造口袋连接一次性引流袋的作用。方法选取2015年1-12月在江西省肿瘤医院行胃肠肿瘤术后腹腔引流患者82例,将其分为对照组(n=40)与观察组(n=42)。腹腔引流期间对照组给予常规换药;观察组除常规处理引流切口外,采用一件式尿路造口袋连接一次性引流袋进行引流。比较两组患者引流口周围渗漏及引流口周围刺激性皮炎的发生率,以及引流切口换药次数、切口愈合时间与患者的舒适度。结果腹腔引流结束时,观察组引流口周围渗漏及刺激性皮炎的发生率明显低于对照组(χ2=5.550、6.717,P=0.043、0.010),引流切口换药次数明显少于对照组(t=13.840,P=0.000),引流切口愈合时间较对照组短(t=6.854,P=0.000),且患者舒适度较对照组高(t=7.429,P=0.000)。结论胃肠肿瘤术后腹腔引流采用尿路造口袋连接一次性引流袋可有效减少引流口周围渗漏及刺激性皮炎的发生,提高患者舒适度,值得在临床推广。Objective To investigate the effects of urinary ostomy bag connected with disposable drainage bag on drainage of abdominal cavity after surgery on gastrointestinal tumor. Methods A total of 82 patients carried out drainage of the abdominal cavity after surgery on gastrointestinal tumor in Cancer Hospital of Jiangxi Province from January to December 2015 were selected and divided into control group （n= 40） and observation group （n= 42）. During the period of abdominal cavity drainage, the control group was given routine dressing change. In addition to the conventional treatment of the drainage incision,the observation group utilized urinary ostomy bag connected with disposable drainage bag for drainage. The incidence rates of leakage and irritable dermatitis around abdominal drainage mouth, dressing times of drainage incision, healing time of drainage incision and patient comfort in drainage were compared between the two groups. Results At the end of abdominal cavity drainage, the incidence rates of leakage and irritable dermatitis around abdominal drainage mouth of the observation group were significantly lower than those of the control group （x2 = 5. 550,6. 717; P= 0. 043,0. 010） ; the dressing times of drainage incision in the observation group was significantly less than that in the control group （t=13. 840,P= 0. 000）,the healing time of drainage incision in the observation group was significantly shorter than that in the control group （t= 6. 854,P= 0. 000） ;the comfort in the observation group was significantly higher than that in the control group （t=7. 429,P=0. 000）. Conclusion Urinary bag connected with disposable drainage bag for drainage after surgery on gastrointestinal tumor can effectively reduce the occurrence of leakage and irritable dermatitis around abdominal drainage mouth, improve patient comfort, it is worthy of clinical promotion.

关 键 词：胃肠肿瘤 引流术 尿路造口袋 一次性引流袋 渗漏 

分 类 号：R473.73[医药卫生—护理学]