中心静脉导管结合一次性颅脑引流器作腰大池引流的效果观察  

The Effect of Central Venous Catheter Combined with Disposable Brain Drainage

作　　者：王佳灿 颜纯钏[2] WANG Jia-can;YAN Chun-chuan(NICU,Jiujiang NO.1 People's Hospital,Jiujiang 332000,Jiangxi Province,China;Acupuncture and Moxibustion Department,The Affiliated Hospital of Jiangxi University of TCM,Nanchang 330006,Jiangxi Province,China)

机构地区：[1]九江市第一人民医院NICU,江西九江332000 [2]江西中医药大学附属医院针灸科,江西南昌330006

出　　处：《罕少疾病杂志》2024年第12期27-29,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的研究中心静脉导管与一次性颅脑引流器在腰大池引流的疗效。方法选择2020.7至2022.12收入80例重症接受腰大池引流患者,按照随机数字表法分为两组各40例,对照组:传统的硬膜外导管,研究组:中心静脉导管联合一次性颅脑引流器引流,比较两组干预效果。结果研究组引流时间长于对照组,日引流液量高于对照组,住院时间均短于对照组,差异对比有意义(P<0.05);研究组引流方法的舒适度评价明显高于对照组,差异对比有意义(P<0.05);研究组前5d的引流通畅率从第3天开始出现差异,即第3d、第4d、第5d的通畅率高于对照组,差异对比有意义(P<0.05);研究组引流管脱管、意外拔管及并发症发生率均少于对照组,差异对比有意义(P<0.05)。结论结合中心静脉导管和一次性颅脑引流器的组合装置,在腰大池引流方面展现出显著的效果。这种装置具有操作简便、安全性高以及价格低廉等优势,为临床护理提供了便利,同时也能减轻医护人员的工作压力。因此,这种组合装置适用于基层医院和条件有限的患者,并值得在这些领域推广应用。Objective To explore the effect of central venous catheter combined with disposable brain drainage.Methods From July 2020 to December 2022,80 patients with severe lumbar drainage were selected and divided into control group and study group according to random number table method,with 40 cases in each group.The traditional epidural catheter is used in postoperative drainage tube fixation,study group using central venous catheter with disposable skull drain lumbar pool drainage,compare the two groups of drainage time and hospitalization time,tape interval,day,drainage fluid volume,fixed comfort,drainage tube,unplanned extubation,complication rate and fixed satisfaction.Results The drainage time was longer than the control group,Higher daily drainage fluid volume than the control group.The hospital stay were shorter than the control group,the comparison of the differences was significant(P<0.05).The comfort evaluation of the drainage method in the study group was significantly higher than that in the control group.The comparison of the differences was significant(P<0.05).The difference in drainage patency rate in the first 5d in the study group began on day 3.Namely,the patency rate of 3d,4d and 5d.were higher than the control group.The comparison of the differences was significant(P<0.05);less drainage tube removal,accidental extubation and complication rate in the study group than the control group.The difference comparison was significant(P<0.05).Conclusion The combination of central venous catheter combined with disposable brain drainage device,used for lumbar large pool drainage effect is remarkable,has the advantages of simple operation,high safety and low price,and provide convenience for clinical care,reduce the workload of medical staff,suitable for use in basic hospitals and difficult patients.

关 键 词：中心静脉导管 一次性颅脑引流器 腰大池引流 

分 类 号：R[医药卫生]