16G中心静脉导管留置胸腔闭式引流体液的效果观察  

Observation on the effect of 16G central venous catheter in thoracic cavity for closed drainage of body fluids

作　　者：颜环菊 YAN Huan-ju(Department 2 of Health Care,The First Affiliated Hospital of Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学附属第一医院保健二科,361003

出　　处：《中国实用医药》2023年第19期137-139,共3页China Practical Medicine

摘　　要：目的探究用16G中心静脉导管留置胸腔闭式引流体液的效果。方法111例内外科胸腔积液患者,按照留置引流管的不同分为实验组(56例)和对照组(55例)。对照组采用传统粗管干预,实验组采用16G中心静脉导管留置胸腔行闭式引流。比较两组患者导管移位(脱出)、漏液、疼痛、拔管后切口需要缝合、并发症发生情况以及切口愈合时间。结果实验组患者导管移位(脱出)、漏液、疼痛发生率分别为1.79%、1.79%、3.57%,均低于对照组的18.18%、21.82%、32.73%,差异具有统计学意义(P<0.05)。实验组患者拔管后切口需要缝合结扎发生率0低于对照组的90.91%,切口愈合时间(7.00±2.19)d短于对照组的(13.00±3.25)d,差异具有统计学意义(P<0.05)。实验组患者并发症发生率1.79%低于对照组的25.45%,差异具有统计学意义(P<0.05)。结论对内外科胸腔积液患者采用16G中心静脉导管留置干预,可有效减少患者伤口疼痛、导管移位(脱出)、漏液等情况发生,还可以缩短切口的愈合时间,降低并发症发生率,值得推广应用。Objective To investigate the effect of 16G central venous catheter in thoracic cavity for closed drainage of body fluids.Methods A total of 111 patients with pleural effusion were divided into experimental group(56 cases)and control group(55 cases)according to the difference of indwelling drainage tube.The control group was given traditional coarse tube intervention,and the experimental group was given 16G central venous catheter in thoracic cavity for closed drainage.The catheter displacement(detachment),fluid leakage,pain,incision suture required after extubation,complications,and incision healing time were compared between the two groups.Results The incidence of catheter displacement(detachment),fluid leakage and pain in the experimental group were 1.79%,1.79%and 3.57%,which were lower than those of 18.18%,21.82%and 32.73%in the control group,and the differences were statistically significant(P<0.05).The incidence of suture ligation after extubation in the experimental group was 0,which was lower than that of 90.91%in the control group;the wound healing time of(7.00±2.19)d in the experimental group was shorter than that of(13.00±3.25)d in the control group;the differences were statistically significant(P<0.05).The complication rate of 1.79%in the experimental group was lower than that of 25.45%in the control group,and the difference was statistically significant(P<0.05).Conclusion The use of 16G central venous catheter indwelling intervention in patients with pleural effusion can effectively reduce the occurrence of wound pain,catheter displacement(detatchment),fluid leakage,shorten the incision healing time and reduce the complication rate,which is worthy of promotion and application.

关 键 词：中心静脉导管 胸腔 积液 闭式引流 

分 类 号：R473[医药卫生—护理学]