中国医科大学学报

中国医科大学学报

中国医科大学学报

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改良式负压引流装置应用效果分析

王维佳1,周东雁2,于晓江2,王微1   

  1. 中国医科大学附属盛京医院1. 手术室;2. ICU,沈阳110004
  • 收稿日期:2015-04-01 出版日期:2016-01-05 发布日期:2015-12-30
  • 通讯作者: 王微,E-mail:wangwei@sj?hospital.org
  • 作者简介:王维佳(1982 -),女,护师,大专.

Application and Effect Analysis ofModified Negative Pressure Drainage Device

WANG Wei-jia1,ZHOU Dong-yan2,YU Xiao-jiang2,WANG Wei1   

  1. 1.Operation Department,Shengjing Hospital,China Medical University,Shenyang110004,China;2.Intensive Care Unit,Shengjing Hospital,China Medical University,Shenyang110004,China
  • Received:2015-04-01 Online:2016-01-05 Published:2015-12-30

摘要:

目的 介绍一种自行改进的可以有效引流腔隙内渗出液的负压引流系统,并同传统引流系统及未经改进的负压引流系统进行对照,比较其引流效能。方法 选取20121月至201412月行腹部手术、术后入住ICU的患者,按照接受引流方式的不同分为传统引流组(C组)、负压引流组(N组),其中负压引流组部分患者采用作者自行改进的负压引流器(M组),比较不同组别患者平均每日引流液量、敷料更换次数、倾倒负压球次数及入住ICU时间。结果 共收集59例满足条件的患者,其中C23例,N18例,M18例,3组患者年龄、性别、入住ICU时间等资料组间比较差异无统计学意义,N组患者每次负压球失去负压时,倾倒引流液经量筒精确测量,容量为(138.46±15.65mL,相对负压球标定容量200 mL,回收率为(69.2±7.8%N组及M组患者倾倒负压球次数组间比较差异无统计学意义[分别为(3.50±3.19)次和(2.53±1.15)次,F =0.835P = 0.413]。3组间平均每日引流液量差异有统计学意义[C组:(75.43±50.86mLN组:(82.08±56.91mLM组:(131.67±65.15),F =5.478P = 0.007],更换敷料次数组间比较差异有统计学意义[C组:(1.39±1.03),N组:(2.11±1.41)次,M组:(0.50±0.71)次,χ2=15.431P < 0.001]。结论 改良的负压引流设备在保留了负压引流高效能特点的基础上,避免了不良后果,减少了护理压力,简单易行,适合推广。

关键词: 负压引流, 护理

Abstract:

Objective To introduce a modified negative pressure drainage device which can effectively drainage out the exudation of operational cavityand compare its effectiveness to traditional drainage and negative pressure drainage devices. Methods A prospective study was conductedproper post-operation patients transferred to intensive care unit from January 2012 to December 2014 were recruited to the study. These patients were divided into three groups based on the different types of drainageconservative groupC group),negative pressure drainage groupN groupand modified negative pressure drainage groupM group. In C groupthe drainage device was a single drainage bagin N groupthe drainage device was a negative pressure ball connected directly to the drainage tubeWhile in M groupthe drainage device was a combination of drainage bag and negative ball. The drainage fluid volumetime of surgical dressing changetime of dumping the fluid and ICU staying time were compared among different groups. Results 59 patients were enrolled in the studyincluding 23 in C group18 in N group and 18 in M group. There were no statistical differences of the sexage and ICU stay time among three groups. The fluid volume of negative ball in N group when lose of negative pressure were 138.46±15.65 mLas a rate of69.2±7.8% compared to the total volume of 200 mL. There was no statistical difference of the fluid dumping time between N and M groupN group3.50±3.19M group2.53±1.15F = 0.835P = 0.413. Statistical differences were found of the average drainage fluid volumeC group75.43±50.86N group82.08±56.91M group131.67±65.15F = 5.478P = 0.007and the surgical dressing change time C group1.39±1.03N group2.11±1.41M group0.50±0.71χ2=15.431P < 0.001among different groups. Conclusion The above mentioned modified negative pressure drainage have the advantages of both conservative drainage and negative pressure drainagewhich can avoid negative effects of both and release the care givingand is proper for expending clinical use.

Key words: negative pressure drainage, care

中图分类号: 

  • R473.6
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