组织胶水减少神经置管术后漏液渗液的回顾性分析

Retrospective analysis of tissue glue to reduce fluid leakage and seepage after nerve catheterization

目的回顾性分析组织胶水在患者神经置管术后穿刺点漏液和渗液的发生率，并与未使用组织胶水的患者进行比较。方法选择行外周神经置管术后镇痛的患者513例，按照置管后是否使用组织胶水分为组织胶水组237例（A组）和未使用胶水组276例（B组）。A组在置管完成后采用组织胶水粘合穿刺部位，并在穿刺点放置棉球加压以预防漏液和渗液的发生，B组仅采用棉球压迫穿刺部位。观察两组患者术后伤口有无漏液、渗液或脱管等不良事件，并比较两组漏液渗液的严重程度。结果A组漏液渗液的发生率显著低于B组，对于出现漏液渗液的患者，A组严重程度小于B组，A组脱管的发生率也显著低于B组（P〈0．05）。结论神经置管术后，组织胶水能减少漏液渗液的发生率，降低漏液渗液的严重程度，并能够降低脱管的发生率，提高术后镇痛的效果。

Objective To compare the incidence rate of fluid leakage and seepage between the use with and without tissue glue in puncture point after nerve catheterization. Methods Five hundred and thirteen patients undergoing peripheral nerve catheterization for postoperative analgesia were divided into group A （n=237 cases） and group B （n=276 cases）. The patients in group A were used tissue glue to adhere the puncture point, and cotton balls to prevent leakage after completing catheterization, and in group B only cotton balls were used. The adverse events were observed and recorded, including leakage, seepage, and tube shedding. The severity of fluid leakage and seepage was compared between the two groups. Results The incidence rate of fluid leakage and seepage, its severity as well as tube shedding were lower in group A than those in group B （P〈0.05）. Conclusion Tissue glue can decrease the incidence of fluid leakage and seepage, reduce its severity and tube shedding.