中心吸痰装置在肠吻合术后肠瘘负压引流护理中的应用  

Application of central suction device in nursing of patients with intestinal fistula after negative pressure drainage after intestinal anastomosis

作　　者：江明媛 江卉[2] 李寒华 JIANG Ming-yuan;JIANG Hui;LI Han-hua(Department of Nursing,People′s Hospital of Lianhua County,Jiangxi Province,Lianhua 337100,China;Department of ICU,People′s Hospital of Lianhua County,Jiangxi Province,Lianhua 337100,China;Department of Surgery,People′s Hospital of Lianhua County,Jiangxi Province,Lianhua 337100,China)

机构地区：[1]江西省莲花县人民医院护理部,江西莲花337100 [2]江西省莲花县人民医院重症医学科,江西莲花337100 [3]江西省莲花县人民医院外科,江西莲花337100

出　　处：《中国当代医药》2018年第29期166-168,共3页China Modern Medicine

摘　　要：目的分析中心吸痰装置在肠吻合术后肠瘘负压引流护理中的应用效果。方法选取2015年8月～2017年7月我院收治的80例肠吻合术后肠瘘患者,根据就诊的单双号进行分组,单号的为观察组,双号的为对照组,每组各40例。对照组通过引流管进行引流,观察组采用中心吸痰装置行持续负压引流。比较两组的康复时间、切口感染发生率、换药次数及患者护理前后生活质量。结果观察组排气时间、拔管时间、瘘口愈合时间及住院时间均明显短于对照组(P<0.05);观察组切口感染发生率低于对照组(P<0.05);两组护理前社会功能、心理功能、躯体功能、物质生活评分比较,差异无统计学意义(P>0.05);观察组护理后社会功能、心理功能、躯体功能评分明显高于对照组,差异均有统计学意义(P<0.05);两组护理后物质生活评分比较,差异无统计学意义(P>0.05)。结论中心吸痰装置在肠吻合术后肠瘘负压引流护理中应用,可有效地缩短患者康复时间,并降低感染和改善生活质量。Objective To analyze the effect of central suction device in nursing of patients with intestinal fistula after negative pressure drainage after intestinal anastomosis.Methods Eighty patients with intestinal fistula who underwent enteroanastomosis from August 2015 to July 2017 were selected and grouped according to a single and double number of visits.With single number were observed group,and with double number were control group,40 cases in each group.The control group was drained by drainage tube,and the observation group was received continuous negative pressure drainage with central suction device.The recovery time,incidence of wound infection,frequency of dressing change and quality of life before and after treatment were compared between the two groups.Results The exhaust time,extubation time,healing time and length of stay in the observation group were significantly shorter than those in the control group(P<0.05).The incidence of incision infection in the observation group was lower than that in the control group(P<0.05).There was no significant difference in the scores of social function,psychological function,physical function and material life between the two groups before nursing(P>0.05).The scores of social function,psychological function and physical function of the observation group were significantly higher than those of the control group after nursing,the differences were statistically significant(P<0.05).There was no significant difference in the scores of material life between the two groups after nursing(P>0.05).Conclusion The central suction device can effectively shorten the recovery time and reduce the infection and improve the quality of life in the nursing of intestinal fistula negative pressure drainage after intestinal anastomosis.

关 键 词：中心吸痰装置 肠吻合术后 肠瘘 引流 

分 类 号：R473.6[医药卫生—护理学]