胸腔留置中心静脉导管引流治疗胸腔积液患者的护理分析  

Investigation on the clinical nursing of pleural indwelling central venous catheter drainage in the treatment of patients with pleural effusion

作　　者：杨芹 YANG Qin(Third People’s Hospital of Huizhou City,Guangdong,Huizhou 516002,China)

机构地区：[1]广东省惠州市第三人民医院,广东惠州516002

出　　处：《中国医药科学》2020年第7期165-167,共3页China Medicine And Pharmacy

摘　　要：目的研究胸腔留置中心静脉导管引流治疗胸腔积液患者的临床护理。方法选取2011年9月~2013年12月于惠州市第三人民医院收治的胸腔积液患者50例,随机分为对照组和观察组,每组25例。所有患者均采取胸腔留置中心静脉导管引流治疗的方法,对照组采取常规护理配合,观察组采取综合护理配合。比较两组护理效果,两组置管引流时间和平均住院时间,并比较两组的并发症发生率。结果观察组护理总有效率为96%,高于对照组的68%,差异有统计学意义(P<0.05)。观察组置管引流时间(5.52±1.06)d,短于对照组的(9.27±2.14)d,平均住院时间(10.36±2.28)d短于对照组的(15.47±3.59)d,差异有统计学意义(P<0.05)。观察组患者的并发症发生率为4%,低于对照组的32%,差异有统计学意义(P<0.05)。结论对胸腔积液患者采取胸腔留置中心静脉导管引流的方法治疗,同时采取综合护理措施相配合,能够提高护理总有效率,缩短患者的置管引流及住院时间,减少并发症的发生,临床护理效果更为理想。Objective To study the clinical nursing of pleural indwelling central venous catheter drainage in the treatment of patients with pleural effusion.Methods 50 patients with pleural effusion admitted and treated at Huizhou Third People’s Hospital from September 2011 to December 2013 were selected,and randomly divided into the control group and the observation group,with 25 patients in each group,respectively.All patients were treated with pleural indwelling central venous catheter drainage.The control group adopted routine nursing cooperation,while the observation group adopted comprehensive nursing cooperation.The nursing effects were compared between the two groups.The duration of catheterization and drainage,mean duration of hospitalization,and incidence of complications were compared between the two groups.Results The overall response rate for nursing was 96%in the observation group,which was higher than that in the control group(68%),with statistically significant difference(P<0.05).The duration of catheterization and drainage in the observation group[(5.52±1.06)d]was shorter than that in the control group[(9.27±2.14)d];the mean duration of hospitalization[(10.36±2.28)d]was shorter than that in the control group[(15.47±3.59)d],with statistically significant difference(P<0.05).The incidence of complications in patients was 4%in the observation group,which was lower than that in the control group(32%),with statistically significant difference(P<0.05).Conclusion Patients with pleural effusion were treated with pleural indwelling central venous catheter drainage,and cooperated with comprehensive nursing measures,which can improve the overall response rate for nursing,shorten the duration of catheterization and drainage as well as hospitalization of patients,reduce the occurrence of complications,and achieve a more ideal clinical nursing effect.

关 键 词：胸腔留置 中心静脉导管 引流治疗 胸腔积液 临床护理 

分 类 号：R473.6[医药卫生—护理学]