造口袋在胸腔闭式引流患者中的运用效果

Application effects of ostomy bag in the patients with closed drainage of thoracic cavity

目的：探讨造口袋在胸腔闭式引流患者中的运用效果。方法：将2015年3-6月在我科行胸腔引流术的111例患者随机分为对照组和观察组,其中对照组56例患者采用常规闭式引流护理,观察组55例患者应用造口袋引流并进行护理。比较两组患者的伤口疼痛情况、穿刺口刺激性皮炎发生率、换药次数和管道留置时间。结果：观察组在第1,2次换药前的疼痛VAS评分、穿刺口刺激性皮炎发生情况、换药次数和管道留置时间低于对照组（P〈0.05）。结论：通过将造口袋运用于胸腔闭式引流患者中,可有效降低患者的疼痛感和刺激性皮炎的发生,提升管道的固定效果,促进患者的康复,减轻护理人员的工作负担。

Objective：To explore the application effects of ostomy bag in patients with closed drainage of thoracic cavity. Methods：Randomly divided the 111 patients with closed drainage of thoracic cavity in our hospital dated from March to June in 2015 into control group and observation group. The 56 patients in control group were treated with conventional closed drainage, while the 55 patients in observation group were be nursed with ostomy bag drainage. Compared the wound pain,the incidence rates of irritant dermatitis in puncturing site,frequency of dressing change and detain time in the pipeline. Results：The pain VAS score, irritant dermatitis in puncturing site, frequency of dressing change and detain time in pipeline of observation group were lower than that of the control group before the first and second dressing change （P 〈 0. 05）. Conclusion ： Applying the ostomay bag in patients with closed drainage of thoracic cavity can effectively reduce the patient5 s pain and the incidence rates of irritant dermatitis, at the same time it can enhance the effect of fixed pipeline, promote the rehabilitation of patients, and reduce the workload of nursing staff.