一体式防渗护理装置在恶性肿瘤患者腹水穿刺术后渗液管理中的应用  

Application of an integrated nursing device in exudation management after ascites puncture in patients with malignant tumor

作　　者：吴旭静 郑建晓 黄旭程 叶晓明 蔡福满 WU Xujing;ZHENG Jianxiao;HUANG Xucheng;YE Xiaoming;CAI Fuman(School of Nursing,Wenzhou Medical University,Wenzhou 325035,China;Department of Integrated Traditional Chinese and Western Medicine,Yueqing Hospital Affiliated to Wenzhou Medical University,Wenzhou 325600,China;Department of Medical Engineering,Yueqing Hospital Affiliated to Wenzhou Medical University,Wenzhou 325600,China;Nursing Department,Yueqing Hospital Affiliated to Wenzhou Medical University,Wenzhou 325600,China)

机构地区：[1]温州医科大学护理学院,浙江温州325035 [2]温州医科大学附属乐清医院中西医结合科,浙江温州325600 [3]温州医科大学附属乐清医院医学工程科,浙江温州325600 [4]温州医科大学附属乐清医院护理部,浙江温州325600

出　　处：《温州医科大学学报》2024年第10期843-848,共6页Journal of Wenzhou Medical University

摘　　要：目的:研究一种新型防渗漏装置在肿瘤患者腹水穿刺术后渗液管理中的应用效果。方法:选取2023年1月至2024年2月温州医科大学附属乐清医院收治的80例患有腹水的恶性肿瘤患者,采用随机数字表法分为实验组和对照组各40例,对照组按常规方式进行穿刺导管固定和腹水引流,实验组则应用一体式穿刺点防渗护理装置进行护理,观察两组患者穿刺点渗漏程度、感染情况、穿刺处疼痛数字评分以及换药次数等方面的综合指标。结果:穿刺后当天,两组患者穿刺点周围的渗漏量差异无统计学意义(P>0.05);穿刺后第3天、第7天实验组渗液量均少于对照组,且随着时间变化,对照组渗漏量逐渐增加(P<0.05),而实验组差异无统计学意义(P>0.05)。穿刺后第7天,实验组感染发生率、穿刺点周围皮肤炎症发生率、10 d内换药次数均少于对照组(P<0.05)。从穿刺后当天、第3天到第7天,对照组穿刺处疼痛分值逐渐增加(P<0.05),实验组穿刺后第7天的穿刺处疼痛数字评分高于第3天和当天(P<0.05)。结论:运用此项新型防渗漏装置能有效改善腹水穿刺术后引流的不良反应情况,如渗液、感染、皮炎以及穿刺点疼痛等。Objective:To explore the application effect of a new seepage-proof nursing device in the fluid management after ascites puncture in tumor patients.Methods:From January 2023 to February 2024,80 patients of malignant tumor with ascites admitted to our hospital were divided as the experimental group and the control group by random number table method,with 40 cases in each.The control group received conventional puncture catheter fixation and ascites drainage while the experimental group was treated with the integrated puncture point seepage-proof nursing device.The comprehensive indexes of puncture point leakage,infection,puncture pain score and dressing change times were observed in the two groups.Results:On the day after puncture,there was no significant difference in the amount of leakage around the puncture point between 2 groups(P>0.05).On the 3rd and 7th day after puncture,the amount of fluid in the experimental group was less than that in the control group,and the amount of fluid in the control group gradually increased with time(P<0.05),while there was no significant difference in the experimental group(P>0.05).On the 7th day after puncture,the incidence of infection,the incidence of skin inflammation around the puncture point and the number of dressing changes within 10 d in the experimental group were lower than those in the control group,with statistical significance(P<0.05).From the day after puncture,day 3 to day 7,the pain score at the puncture site in the control group gradually increased,with statistical difference(P<0.05),while the change of pain score in the experimental group showed no statistical significance(P>0.05).The NRS score of the puncture site in the experimental group on the 7th day after puncture was higher than that on the 3rd day and the day of puncture(P<0.05).Conclusion:The application of this new anti-leakage device can effectively reduce the occurrence of adverse reactions related to drainage after ascites puncture in tumor patients,such as seepage,infection,dermatitis and punctur

关 键 词：防渗护理装置 恶性肿瘤相关性腹水 腹腔穿刺术 渗液 

分 类 号：R473.73[医药卫生—护理学]