腹膜透析管防折损的设计及临床应用  

Design and clinical application of peritoneal dialysis tube to prevent breakage

作　　者：梁望群 张春秀 杨丽松 Liang Wangqun;Zhang Chunxiu;Yang Lisong(Department of Nephrology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China;Dalian Institute of Theoretical Medicine, Dalian Central Hospital Affiliated to Dalian Medical University, Dalian 116033, China)

机构地区：[1]华中科技大学同济医学院附属同济医院肾内科,武汉430030 [2]大连医科大学附属大连市中心医院大连理论医学研究所,116033

出　　处：《中国实用护理杂志》2019年第28期2204-2207,共4页Chinese Journal of Practical Nursing

摘　　要：目的对腹膜透析管进行保护设计,解决腹膜透析导管在临床使用过程中的打折破损问题。方法选择2016年1月至2017年12月在华中科技大学同济医学院附属同济医院肾病内科新开管行腹膜透析治疗的终末期肾病患者94例为研究对象。按开管的时间排序,将序数为单数的接受治疗的47例患者设为对照组,将序数为双数的接受治疗的47例患者设为观察组。对照组采用传统的腹膜透析管进行护理;观察组采用防折损腹膜透析管进行护理。观察比较2组腹膜透析患者透析期间的透析导管松脱及破损的发生情况及患者对其所使用腹膜透析管的总满意度。结果观察组患者的导管折痕变形0例,明显低于对照组的12例,差异有统计学意义(χ2=13.610,P<0.01);观察组患者对其所使用腹膜透析管的总满意度为97.87%(46/47),对照组为72.34%(34/47),2组比较差异有统计学意义(χ2=12.086,P<0.01);2组腹膜透析管漏液、导管相关感染发生率比较差异无统计学意义(P>0.05)。结论经过改进的防折损腹膜透析管给予长期腹膜透析患者的护理更简便、安全、有效,它能减少腹膜透析导管相关性腹膜炎的发生率,值得临床推广应用。Objective To design the protection of peritoneal dialysis catheter and solve the problem of broken peritoneal dialysis catheter during clinical use. Methods A total of 94 patients with end-stage renal disease who received newly opened peritoneal dialysis in the Department of Nephrology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology from January 2016 to December 2017 were selected as research objects. In order of the time of tube opening, 47 patients with singular ordinal number receiving treatment were set as the control group, and 47 patients with even ordinal number receiving treatment were set as the observation group. The patients of control group, using the traditional peritoneal dialysis tube nursing;the patients of observation group, using anti - broken peritoneal dialysis tube for nursing. To observe and compare the incidence of dialysis catheter loosening and breakage during dialysis in the 2 groups of peritoneal dialysis patients, as well as the patient satisfaction. Results The catheter crease deformation of the observation group(0 case) was significantly lower than that of the control group (12 cases), and the difference was statistically significant (χ2=13.610, P<0.05). The total satisfaction of patients in the observation group was 97.87%(46/47), while that of patients in the control group was 72.34%(30/47). The total satisfaction rate of observation group was significantly higher than that of control group (χ2=12.086, P<0.01). No leakage occurred in the observation group, which was also significantly lower than that in the control group. However, due to the limited observation time, the number of cases was small without statistical significance (P>0.05). Conclusions The improved peritoneal dialysis catheter is more convenient, safe and effective for long-term peritoneal dialysis patients, and it can reduce the incidence of peritonitis associated with peritoneal dialysis catheter, which is worthy of clinical application.

关 键 词：护理 防折损 导管相关性腹膜炎 导管固定 腹膜透析 

分 类 号：R472[医药卫生—护理学]