负压封闭引流术(VSD)后管道堵塞的原因分析及护理对策

Reason Analysis and Nursing Countermeasures of Pipe Blockage After Vacuum Sealing Drainage(VSD)

目的分析负压封闭引流术(VSD)后出现管道堵塞的原因,并提出相应的护理干预措施。方法选择2012年4月至2013年8月来院就诊的80例接受负压封闭引流术的患者,根据护理方法,将患者分为两组,其中常规护理患者35例,设为对照组,提供护理干预措施患者45例,设为观察组,对比两组患者的治疗效果、是否出现不良反应、接受VSD的持续时间。结果对照组引流管堵塞发生率为37.14%,观察组为4.44%,两组比较差异显著(P<0.05);对照组引流时间(10.82±1.56)d明显超过观察组(6.45±1.72)d,差异具有统计学意义(P<0.05)。结论负压封闭引流术出现堵塞的原因有灌滴速太慢、分泌物堵塞、漏气等,同时有效的护理干预措施能够降低管道堵塞的发生率,效果值得肯定。

Objective To analyze the causes of the pipe blockage after vacuum sealing drainage （VSD）, and provide the corresponding nursing intervention measures. Methods Eighty patients with VSD in our hospital from April 2012 to August 2013 were selected and divided into two groups according to the nursing method. 35 cases of conventional nursing were set as control group, and 45 cases of nursing intervention measures were set as the observation group. The curative effect, adverse reaction and duration of VSD were compared between two groups. Results The incidence of pipe blockage was 4.44% of observation group, significantly lower than 37.14% of control group （P〈0.05）. The duration time of VSD was （10.82 ± 1.56） d, significantly longer than （6.45±1.72） d of control group （P〈0.05）. Conclusions Vacuum sealing drainage blockage is caused by a drip irrigation speed too slow, secretions and blockage, and leakage gas, and effective nursing interventions can effectively prevent the pipeline clogging rate, and the effect is worth affirmation.