肝素钠与尿激酶封管预防胸腔闭式引流管堵塞的护理干预

Nursing intervention of using heparin and urokinase for tube sealing to prevent the blockage of thoracic close drainage tube

目的:探讨预防胸腔闭式引流管堵管的护理方法。方法:对240例血性胸积液患者应用胸腔闭式引流管行经皮微创胸腔置管闭式引流术,分为肝素钠组、尿激酶组及对照组,每组80例患者,前两组分别应用肝素钠与尿激酶封管;对照组应用0.9%氯化钠注射液封管;观察各组胸腔闭式引流管堵管发生率。结果:肝素钠组有2例不完全的堵管,尿激酶组没有发生胸腔闭式引流管堵塞,对照组发生堵管例数较多,与肝素钠组、尿激酶组比较差异有统计学意义,肝素钠与尿激酶两组比较差别无统计学意义。结论:应用肝素钠与尿激酶封管,可以避免胸腔闭式引流管堵塞的发生。

Objective： To investigate the nursing intervention of preventing the blockage of thoracic close drainage tube. Methods： 240 patients of thoracic bloody hydrops were given micro-invasive thoracic closed drainage per cutem by thoracic close drainage tube, and randomly divided into three groups, 80 in each group. The Heparin group and the Urokinase group were given heparin and urokinase for tube sealing respectively, while the control group was given 0.9% sodium chloride injection for tube sealing. Results： 2 cases in the heparin group occurred incomplete tube blockage, none in the Urokinase group occurred incomplete tube blockage, and many in the concrol group occurred incomplete tube blockage. Significant differences were detected between the control group and the Heparin group or the urokinase group, while no significant differences were detected between the heparin group and the urokinase group. Conclusion： Heparin and urokinase were significantly effective on preventing the blockage of thoracic close drainage tube.