墙式中心负压吸引在治疗肠漏患者中的临床应用  

Clinical Application of Wall-type Central Vacuum Suction in Patients with Intestinal Leakage

作　　者：张艳花[1] ZHANG Yan-hua(Department of General Surgery,the First People's Hospital of Qujing,Qujing,Yunnan Province,655000 China)

机构地区：[1]云南省曲靖市第一人民医院普外科二病区

出　　处：《中外医疗》2019年第26期160-162,共3页China & Foreign Medical Treatment

摘　　要：目的分析肠瘘患者应用墙式中心负压吸引的应用效果。方法随机抽取2016年6月—2018年12月该院收治的28例肠瘘患者,入选研究对象均经随机抽签法分为参考组(n=14)与观察组(n=14),参考组患者应用电动吸痰器吸引,观察组患者应用墙式中心负压吸引,对比两组患者每日被服更换次数、渗出液量、肠瘘愈合时间以及不良反应情况。结果观察组患者每日被服更换次数(3.2±0.3)次少于参考组患者(4.5±0.4)次,渗出液量(234.3±82.2)mL明显少于参考组患者(296.4±79.5)mL,肠瘘愈合时间(41.5±6.3)d明显短于参考组患者(52.4±6.7)d,两组患者:每日被服更换次数、渗出液量以及肠瘘愈合时间差异均有统计学意义(t=8.434、27.278、14.916、P<0.05)。参考组出现不良反应患者共计4例,总发生率为28.57%,观察组出现不良反应患者共计1例,总发生率为7.14%,两组患者不良反应发生率差异有统计学意义(χ^2=11.272、P<0.05)。结论肠瘘患者应用墙式中心负压吸引以及针对性干预措施有助于加快肠瘘愈合并可降低各类并发症发生率,可有效缓解患者生理以及心理痛苦并提高其身心舒适度和生活质量。Objective To analyze the application effect of wall-type central vacuum suction in patients with intestinal fistula.Methods 28 patients with intestinal fistula admitted to our hospital from June 2016 to December 2018 were randomly selected.The selected subjects were divided into reference group(n=14)and observation group(n=14)by cluster random sampling.Patients in the reference group were attracted by an electric suction device.The patients in the observation group were subjected to wall-type central vacuum suction,and the number of daily replacements,the amount of exudate,the time of intestinal hemorrhage,and adverse reactions were compared between the two groups.Results The number of patients in the observation group was changed by(3.2±0.3)times per day(4.5±0.4)times,and the amount of exudate(234.3±82.2)mL was significantly less than that of the reference group(296.4±79.5)mL.The healing time of intestinal fistula(41.5±6.3)d was significantly shorter than that of the reference group(52.4±6.7)d.The difference between the number of daily service changes,the amount of exudate and the healing time of intestinal fistula was statistically significant(t=8.434,27.278,14.916,P<0.05).There were 4 cases of adverse reactions in the reference group,the total incidence was 28.57%,and 1 case of adverse reactions in the observation group,the total incidence was 7.14%.There was a statistically significant difference in the incidence of adverse reactions between the two groups(χ^2=11.272,P<0.05).Conclusion The application of wall-type central vacuum suction and targeted interventions in patients with intestinal fistula can accelerate the healing of intestinal fistula and reduce the incidence of various complications,which can effectively alleviate the physical and psychological pain of patients and improve their physical and mental comfort and quality of life.

关 键 词：墙式中心负压吸引 肠瘘 临床应用价值 

分 类 号：R656.7[医药卫生—外科学]