新型负压引流管路在甲状腺术后引流效果分析及护理探讨

Analysis of the Effect of Negative Pressure Drainage Device in Thyroid Operation and the Nursing Experience

目的评价新型十字型负压引流管路在甲状腺外科术后创面引流的应用效果及临床护理措施。方法整群选取2015年1—12月在厦门大学附属第一医院甲状腺及疝外科就诊的152例甲状腺手术治疗患者作为研究对象,70例甲状腺术后运用爱泽引流管,定为观察组。另选取82例甲状腺术后患者运用普通负压引流器,定为对照组。记录术后两组患者首个24 h引流量(D24h)、总引流量(DT)、拔管时间(T拔)、术后住院时间(T总)、拔管前换药次数(n)。结果就总引流量而言,观察组与对照组差异无统计学意义(P>0.05),但术后首个24 h引流量,观察组大于对照组(P<0.05),拔管时间观察组较对照组显著缩短(P<0.05);术后换药次数,观察组显著少于对照组(P<0.05);术后住院时间,观察组较对照组明显缩短。结论爱泽引流管在甲状腺外科术后持续引流充分有效,减少术后带管时间,减少术后换药次数,减少术后平均住院天数,减少护理工作量。

Objective To explore the effect of a new type of negative pressure drainage device（Ai Ze） in the thyroid operations. Methods 150 patients with thyroid surgery hospitalized in General Surgery Department of First Affiliated Hospital of Xiamen University from January 2015 to December 2015, were randomly divided into two groups, 70 cases allocated in the experimental group and 80 cases in the control group. The experimental group was given Ai Ze drainage device, while the control group was given conventional negative pressure drainage tube. The first 24-hour drainage volume, total drainage volume, extubation time, postoperative hospitalization stays, the number of dressing change, all these parameters were noted and compared between groups. Results The differences of total drainage volume between two groups did not reach statistical significance（P〉0.05）, however, the first 24 h drainage volume was greater in experimental group than in the control group;Significantly shortened extubation time, less dressing change and hospitalization stay were observed in experimental group（P〈0.05）. Conclusion Ai Ze negative pressure drainage device is reliable and effective in the thyroid surgery.