胆管癌患者PTCD改良引流法的应用效果

The Effect of Modified PTCD Drainage for Patients with Cholangio Cancer

目的:研究改良PTCD引流法对改善胆管癌病人舒适度的护理效果。方法:于我院行PTCD置管引流的胆管癌病人中选取70例,随机分成两组,实验组将止血带剪成7cm长一段将其与PTCD管接驳,再接引流袋,并将引流管盘成S型固定于腹部,对照组用玻璃接头连接PTCD管,胶布固定,再接引流袋,引流两周后对两组病人分别行疼痛、睡眠、生活质量,焦虑以及并发症评估。结果:实验组睡眠评分,生活质量评分明显高于对照组,焦虑评分以及并发症发生率则低于对照组(P<0.05)。两组病人疼痛评分差异不显著。结论:使用橡胶管改良PTCD引流接管提高病人安全舒适度,改善病人生活质量,值得临床使用推广。

Objective： To study the comfort improving effect of the modified FFCD 70 patients who had received the treatment of PTCD drainage were selected and divided into two groups randomly. For the experimental group , tourniquets were cut into 7cm a slice and connected with the PTCD duet. The drainage duet was bent into S shape and fixed to the stomach;For the control group,We used glass joint to connect with the PTCD duct and then fixed. After two weeks draining, sleep quality,life quality , pain and anxiety index were assessed. Result： Sleep index and life quality of experimental group were higher, and their anxiety index and incidence of adverse event was lower. As to the pain,The difference between the two groups was not remarkable. Conclusion： We use rubber duct to modify the way of the PTCD draining connection and to improve the comfort and the life quality of the patients and at the same time ensure the security. It deserves to be popularized.