电视辅助胸腔镜肺部手术后两种引流装置效果比较  

Comparison of two different drainage catheter devices after video-assisted thoracoscopic surgery for pulmonary resection

作　　者：徐萍[1] 沈洪[1] 徐颖璐 

机构地区：[1]江苏省南通市第三人民医院胸外科,江苏南通226001

出　　处：《中西医结合护理（中英文）》2017年第10期114-116,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨电视辅助胸腔镜下(VATS)肺手术术后两种引流装置胸腔引流的效果。方法选取胸外科VATS肺手术的患者116例,根据术中放置胸腔引流装置不同分为2组,观察组56例,术中放置细软管接负压球引流,对照组60例,术中放置26 F胸管接水封瓶引流。观察2组患者术后1 d疼痛评分,首次下床活动时间,术后咳嗽有效性及舒适度。结果观察组术后1 d疼痛评分及初次下床活动的时间均少于对照组(P<0.05)。观察组患者咳嗽的有效性满意程度及舒适度优于对照组(P<0.05)。结论 VATS肺手术后使用细软管接负压球引流,可减轻患者疼痛,缩短初次下床活动时间,提高患者咳嗽的有效性及舒适度,促进快速康复。Objective To investigate the effect o f two different drainage catheter devices after video-assisted thoracoscopic （VAT ） surgery fo r pulmonary resection. Methods Totally 116 pa-tients undergoing VAT su rg e ry fo r pulmonary resection were assigned to the obse=56） and the control group （n = 60）. The observation group adopted the drainage catheter devicewhich was connected with negative pressure b a l l,and the control group used the thoranected with water sealed bottle. The pain degree at 1 day after surgery,post ime,efficacy of cough and general comfort o f patients were evaluated. Results Patieobservation group had a lower score o f pain assessment at 1 day after surgery and ative activity time compared w ith those in the control group （P 〈0. 05）. The and general comfort of patients were higher in the observation group than those in the controlgroup （P 〈0. 05）. Conclusion The catheter connected w ith negative pressure b all is an effec-tive drainage device after V A T surgery for pulmonary resection, which may reduce the pain degree and improve the efficacy of cough and general comfort o f patients.

关 键 词：引流装置 电视辅助胸腔镜手术 肺切除手术 疼痛 咳嗽 舒适度 

分 类 号：R473.6[医药卫生—护理学]