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目的观察胸腔水封引流瓶用于重症监护病房(ICU)患者腹腔引流管引流的效果。方法选取2014年1月-2015年1月收治的100例危重症患者,按照入住ICU的先后顺序依次分为对照组和试验组,每组各50例。对照组患者腹腔引流装置使用一次性普通引流袋,试验组患者腹腔引流装置使用一次性胸腔水封引流瓶。比较两组患者腹腔引流管的堵管发生率,以及护士每天护理腹腔引流管所花费的直接护理时间。结果试验组患者腹腔引流管发生堵管的例数(1例,占2%)明显少于对照组(7例,占14%),差异有统计学意义(P<0.05);试验组管护士每天花费的直接护理腹腔引流管的时间明显短于对照组,差异有统计学意义(P<0.05)。结论胸腔水封引流瓶用于危重症患者腹腔引流管的引流能明显降低腹腔引流管的堵管发生率,显著减少护士的工作量,并能精确记录腹腔引流液的量,值得临床推广应用。
Objective To observe the effect of pleural fluid sealing drainage tube for peritoneal drainage tube drainage in intensive care unit (ICU). Methods A total of 100 critically ill patients admitted from January 2014 to January 2015 were divided into control group and trial group according to the sequence of ICU admission, with 50 cases in each group. The control group of patients with abdominal drainage device using disposable drainage bag, the experimental group of patients with abdominal drainage device using disposable pleural water seal drainage bottle. The incidence of occlusion of the peritoneal drainage tube in both groups was compared with the direct nursing time spent by nurses on the peritoneal drainage tube. Results The number of cases (1%, 2%) in the peritoneal drainage tube of the experimental group was significantly less than that of the control group (7%, 14%), the difference was statistically significant (P <0.05) The time spent per day on direct nursing of the abdominal drainage tube was significantly shorter than that of the control group, with a significant difference (P <0.05). Conclusion The use of pleural fluid sealing drainage tube for drainage of peritoneal drainage tube in critically ill patients can significantly reduce the incidence of occlusion of peritoneal drainage tube, significantly reduce the workload of nurses and accurately record the volume of peritoneal drainage fluid, which deserves clinical application.