改良腹腔穿刺短期留置针在肝硬化腹水超滤回输技术中的应用效果研究  

Effect of Modified Abdominal Puncture Short-Term Indwelling Needle on Diarrhea Ascites Ultrafiltration and Reinfusion

作　　者：胡玉媛 殷桂春[2] HU Yu-yuan;YIN Gui-chun(Department of Intensive Medicine,Tianjin Second People’s Hospital,Tianjin 300192;Nursing Department of Tianjin Second People’s Hospital,Tianjin 300192)

机构地区：[1]天津市第二人民医院重症医学科,天津300192 [2]天津市第二人民医院护理部,天津300192

出　　处：《中国医疗器械信息》2021年第1期50-53,共4页China Medical Device Information

摘　　要：目的:研究改良腹腔穿刺短期留置针在肝硬化腹水超滤回输中的效果及安全性,为肝硬化顽固性腹水患者的临床治疗提供更加科学的指导。方法:选取2016年10月~2019年10月于本院就诊的110例肝硬化顽固性腹水患者为观察对象,使用随机数字表法分成观察组和对照组,观察组使用改良式腹腔穿刺短期留置针+超滤回输技术,对照组采用传统的腹腔穿刺针+超滤回输技术,对比两组患者在腹水超滤回输过程中管路堵塞率、意外脱针率、并发症发生情况以及治疗过程中的舒适度,并从经济学角度对两种不同的方式进行对比。结果:与对照组相比,观察组的阻塞次数、脱针次数、感染、皮下血肿、穿刺点渗血均明显减低(均P<0.05),舒适度得分和活动度均明显增高(P<0.05),两组的低热发生差异无统计学意义(P>0.05)。结论:在对顽固性肝硬化腹水患者进行治疗时,改良腹腔穿刺短期留置针可降低管路堵塞和脱针发生,减少感染、皮下血肿、穿刺点渗血,提升患者腹水超滤回输过程中的舒适度,并增加活动度。Objective:To study the effect of modified peritoneal puncture short-term indwuration needle for ascites ultrafiltration in patients with cirrhosis,and to provide more scientific guidance for clinical treatment of patients with refractory peritoneal effusion in cirrhosis.Methods:From October 2016 to October 2019,choose 110 cases of liver cirrhosis patients with intractable abdominal effusion was studied in our hospital,using the random number table method will into the group of patients were divided into experimental group and control group,respectively,using the improved abdominal puncture short-term needle ultrafiltration doping abdominal surgery and traditional abdominal puncture fluid treatment,compared two groups of patients in the process of the ascites ultrafiltration doping pipeline plugging accident rate of needle.Results:Compared with the control group,the cases of obstructions,needle removals,infection,subcutaneous hematoma,and bleeding at the puncture point of the observation group had significantly reduced(P<0.05),and the comfort score and activity had significantly increased(P<0.05).The difference in hypothermia between 2 groups was not statistically significant(P>0.05).Conclusion:In the treatment of patients with refractory cirrhosis and ascites,the improved abdominal puncture short-term needle ultrafiltration doping abdominal surgery can improve the comfort of the patient in the process of ultrafiltration and return of ascites by reducing the occurrence of blockage of the pipeline,the removal of the needle,infection,subcutaneous hematoma and bleeding at the puncture point.

关 键 词：肝硬化腹水 腹水超滤回输 腹腔穿刺术 短期留置针 

分 类 号：R608[医药卫生—外科学]