一次性使用腰大池引流管整理装置的临床应用研究  

Study on clinical application of one-time use of lumbar drainage tube finishing device

作　　者：李招飞 邓彩霞 曾水英[1] LI Zhaofei;DENG Caixia;ZENG Shuiying(Department of Neurosurgery,Nanfang Hospital,Ganzhou,Ganzhou People's Hospital,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]南方医院赣州医院赣州市人民医院神经外科,江西赣州341000

出　　处：《中国当代医药》2025年第6期164-168,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202311949)。

摘　　要：目的研究一次性使用腰大池引流管整理装置在腰大池引流术后患者中的应用效果。方法选取2023年1月至2024年1月南方医院赣州医院收治的腰大池引流术适应证患者60例作为研究对象。采用随机数字表法进行简单随机分为对照组和创新组,每组30例。对照组采用常规引流管胶布固定方法,创新组采用南方医院赣州医院自行设计的腰大池引流管整理装置固定。比较两组干预前后舒适度(GCQ)及自我效能感(GSES)。比较两组干预后并发症及非计划性拔管发生情况(颅内积气、局部感染、引流管脱位、引流管堵塞/折叠、皮肤过敏/破损)、满意程度。结果创新组GCQ、GSES评分高于对照组,差异有统计学意义(P<0.05);创新组干预后并发症总发生率及非计划性拔管率低于对照组,差异有统计学意义(P<0.05);创新组满意程度高于对照组,差异有统计学意义(P<0.05)。结论一次性使用腰大池引流管整理装置有利于患者术后康复质量的提升,增加舒适度的同时也减少并发症的发生。Objective To study the effect of one-time use of lumbar drainage tube finishing device in patients after lumbar drainage.Methods Sixty patients diagnosed with indications for lumbar cistern drainage from January 2023 to January 2024 at Nanfang Hospital,Ganzhou were selected as research subjects.A simple randomization method using a random number table was employed to divide them into a control group and an innovative group,with 30 cases in each group.The control group utilized the conventional method of securing drainage tubes with adhesive tape,while the innovative group used a self-designed apparatus for fixing lumbar cistern drainage tubes developed by Nanfang Hospital,Ganzhou.The general comfort questionnaire(GCQ)and general self-efficacy scale(GSES)between the two groups were compared before and after the intervention.Additionally,the incidence of complications and unplanned tube removals(such as intracranial gas accumulation,local infection,tube dislodgment,tube blockage/folding,and skin allergies/tears)as well as the degree of patient satisfaction following the intervention between the two groups were compared.Results The GCQ and GSES scores of the innovative group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications and the rate of unplanned extubation after intervention in the innovation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The satisfaction degree of the innovation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion One-time use of lumbar drainage tube finishing device is beneficial to improve the postoperative rehabilitation quality of patients,increase comfort,and reduce the occurrence of complications.

关 键 词：腰大池引流管 引流管整理装置 神经外科 非计划性拔管 

分 类 号：R741[医药卫生—神经病学与精神病学]