胸腹腔引流管保护带在胸腹腔积液引流术后引流管固定中的应用  

The Application of the Protective Band of the Drainage Tube in the Fixation of the Drainage Tube after Drainage of Pleural and Peritoneal Effusion

作　　者：赵爽 关春莹 ZHAO Shuang;GUAN Chunying(Department of Thoracic Surgery,Hebi People’s Hospital,Hebi Henan 458030,China)

机构地区：[1]鹤壁市人民医院胸外科,河南鹤壁458030

出　　处：《临床研究》2022年第12期60-63,共4页Clinical Research

摘　　要：目的 比较胸腹腔积液引流术后引流管不同固定方式的应用效果。方法 选择纳入鹤壁市人民医院2020年7月至2022年7月收治的80例胸腹腔积液引流术患者,按照随机法将其分为对照组与研究组,每组各40例,对照组在术后引流管固定中使用传统的胸腔引流管固定方法,研究组则采用自制胸腹腔引流管保护带进行固定,比较两组引流时间、日引流液量、更换胶布间隔时间、住院时间、固定舒适度、引流管脱管、非计划性拔管及并发症发生率、固定满意度。结果 研究组引流时间及住院时间均短于对照组,更换胶布间隔时间长于对照组,日引流液量少于对照组,差异有统计学意义(P <0.05),研究组引流管固定方法的舒适度评价高于对照组,差异有统计学意义(P <0.05),研究组引流管脱管、非计划性拔管及并发症发生率均少于对照组,差异有统计学意义(P <0.05),研究组固定满意度(100%)高出对照组(85.00%),差异有统计学意义(P <0.05)。结论 在胸腹腔积液引流术后做好引流管固定具有重要作用,而使用胸腹腔引流管保护带的效果显著,能够有效减少非计划拔管的发生,确保患者安全,减轻患者不适,提高治疗满意度。Objective To compare the effects of different fixation methods of drainage tubes after drainage of pleural and peritoneal effusion.Methods A total of 80 patients with pleural and peritoneal effusion drainage admitted to Hebi People's Hospital from July 2020 to July 2022 were selected and divided into the control group and the study group according to the random method,with 40 cases in each group.The control group used the traditional fixation method of a chest drainage tube in the postoperative drainage tube fixation,and the study group used the self-made chest and peritoneal drainage tube protection band for fixation.The drainage time,the daily amount of drainage fluid,the interval of tape replacement,length of hospital stay,fixation comfort,drainage tube extubation,unplanned extubation and complication rate,and fixation satisfaction were compared between the two groups.Results The drainage time and hospitalization time of the study group were shorter than that of the control group,the interval time of changing tape was longer than that of the control group,and the daily drainage fluid volume was less than that of the control group,the difference was statistically significant(P<0.05).The comfort evaluation of the drainage tube fixation method of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).The incidence of drainage tube extubation,unplanned extubation,and complications in the study group was lower than that in the control group,the difference was statistically significant(P<0.05),and the fixed satisfaction in the study group(100%)was higher than that in the control group(85.00%),the difference was statistically significant(P<0.05).Conclusion Fixation of the drainage tube after drainage of thoracic and abdominal effusion plays an important role,and the protective band of the thoracic and abdominal drainage tube has a significant effect,which can effectively reduce the occurrence of unplanned extubation,ensure patient safety,relieve patient discomfo

关 键 词：胸腹腔引流管保护带 胸腹腔积液引流术 引流管 固定 

分 类 号：R619[医药卫生—外科学]