负压吸引集液装置的制作及在腰椎间盘摘除术患者中的应用

Development and application of negative pressure suction liquid collector in patients undergoing percutaneous endoscopic interlaminar discectomy

目的评价负压吸引集液装置在经皮内镜下椎板间入路行腰椎间盘摘除术(percutaneous endoscopic interlaminar discectomy,PEID)患者中的应用效果。方法将2015年10月—2016年8月行PEID的50例患者为对照组,2016年9月—2017年2月行PEID的50例患者为试验组。试验组术中应用负压吸引集液装置,对照组采用常规排水方法。评价两组手术单、术者手术衣、手术间地面水浸湿情况以及手术人员工作量情况,比较两组术中低体温发生率。结果试验组除3例术者手术衣衣袖被溅湿,余均未发生浸湿情况;对照组手术单、术者手术衣、手术间地面浸湿发生率为100%,两组差异有统计学意义(P<0.01)。在降低护理人员工作量方面,试验组中巡回护士用手术巾吸湿地面以及手术一助吸引排出液体的工作量较对照组降低了100%(P<0.01)。试验组术中低体温发生率为4%,对照组为22%,两组差异有统计学意义(P<0.05)。结论 PEID术中应用负压吸引集液装置能够明显降低手术间的污染发生率并减轻护理人员的工作量,同时能降低患者术中低体温的发生。

Objective To evaluate the effects of negative pressure suction liquid collector in patients undergoing percutaneous endoscopic interlaminar disceetomy. Methods Fifty patients undergoing percutaneous endoscopic in- terlaminar discectomy from October 2015 to August 2016 were chosen as the control group,while 50 patients receiving the same surgery from September 2016 to February 2017 were chosen as the experimental group. The experimental group was treated with negative pressure suction liquid collector,and the control group was treated with conventional drainage procedure. Water pollution of surgical drape,operator gown and operating room floor,and workload of operating room personnel were evaluated,and rate of intraoperative hypothermia was compared between two groups. Results There were only 3 cases of operator＇s splashed sleeves in the experimental group,and the water pollution rate of surgical drape,operator gown and operating room floor in the control group was 100%,and the difference was statistically significant （P〈0.01）. The workload of circulating nurses for cleaning wet floor and operation assistants for sucking liquid in the experimental group was reduced by 100% compared to the control group （P〈0.01）. The rate of intraoperative hypothermia was 4% in the experimental group and 22% in the control group,and the difference was statistically significant （P〈0.05）. Conclusion Application of negative pressure suction liquid collector for percutaneous endoscopic interlaminar discectomy can significantly reduce the workload of operating room personnel and pollution of operating room,and the rate of intraoperative hypothermia.