自制引流管贴膜在结核性胸膜炎置管护理中的应用观察  

Application of self-made pleural cannula dressing in the nursing care of tuberculous pleurisy

作　　者：孙卉 许红兰 刘晓玲 SUN Hui;XU Hong- lan;LIU Xiao-ling.(The Third Department of Tuberculosis, Tangshan Branch of the Second Hospital of Nanjing, Nanjing 210013, China)

机构地区：[1]南京市第二医院汤山分院结核三科,210013

出　　处：《中国防痨杂志》2018年第6期649-651,共3页Chinese Journal of Antituberculosis

摘　　要：选取南京市第二医院汤山分院2017年6月至2018年1月收治的结核性胸膜炎患者中使用单腔静脉导管行胸腔闭式引流者为研究对象，共68例。将研究对象分为实验组（33例）和对照组（35例）；其中，实验组采用自制胸腔引流管贴膜固定胸腔闭式引流管；对照组常规使用透明敷料固定胸腔闭式引流管。实验组舒适度评分为（2．42±0．56）分，明显高于对照组的（2．06±0．48）分，差异有统计学意义（t=-2．89，P=0．005）。实验组换药间隔时间为（7．00±1．23）d，明显长于对照组的（3．77±1．33）d，差异有统计学意义（t=-10．49，P〈0．01）。对照组发生非计划性拔管者占11．4％（4／35），实验组未发生非计划性拔管，两组比较差异有统计学意义（x2=-5．55，P=0．018）。可见，自制胸腔引流管贴膜在舒适度、换药次数及控制非计划性拔管方面具有明显的临床效果。Sixty-eight cases with tuberculous pleurisy, who were treated by closed thoracic drainage with single vena cava catheter in the Tangshan Branch of the Second Hospital of Nanjing from June 2017 to January 2018, were selected as the subjects of this study. The subjects were divided into experimental group （33 cases） and control group （35 cases）. The experimental group used self-made pleural cannula dressing to fix the closed thoracic drainage tube, while the control group used conventional transparent dressing. The comfort score of the experimental group was （2. 42±0.56）, which was significantly higher than that of the control group （2.06-±0. 48） ; there was a statis tically significant difference （t=- 2. 89, P=0. 005）. The dressing interval of the experimental group was （7. 00±1.23） d, significantly longer than that of the control group （3.77±1.33） d, and the difference was statistically sig- nificant （t=-10. 49,P〈0. 01）. The unplanned extubation rate in the control group was 11.4% （4/35）, and there was no unplanned extubation in the experimental group. The difference between the two groups was statistically significant （x2= 5.55,P=0. 018）. The self-made pleural cannula dressing has obvious clinical effects in terms of comfort, frequency of dressing change and preventing unplanned extubation.

关 键 词：结核 胸膜 胸腔积液 引流术 护理 疗效比较研究 

分 类 号：R655[医药卫生—外科学]