无针密闭式输液接头在经皮肾穿刺造瘘术中的应用

Application of needleless closed infusion connector in percutaneous nephrostomy

目的探讨无针密闭式输液接头在经皮肾穿刺造瘘术(PCN)中的应用效果。方法将100例行PCN放置引流管患者随机分为试验组和对照组,各50例。对照组采用传统方法在肾造瘘引流管末尾端直接对接集尿袋,试验组将无针密闭式输液接头先对接在肾造瘘引流管末尾端,再衔接集尿袋。观察2组尿液漏出、肾造瘘管接头处破裂、接头处分离、术后感染等发生情况。结果试验组发生尿液漏出1例,接头处分离1例,护理不良事件总发生率4. 00%;对照组发生尿液漏出15例,接头处分离8例,接头处破裂4例,术后感染2例,护理不良事件总发生率58. 00%,2组差异有统计学意义(P <0. 01)。结论使用无针密闭式输液接头与肾造瘘引流管对接能有效减少护理不良事件的发生风险。

Objective To explore the application efficacy of needleless closed infusion con- nector in percutaneous nephrostomy （PCN）. Methods Totally 100 patients placed drainage tube after PCN were randomly divided into trial group （n =50） and control group （n =50）. The con- trol group was directly connected to the urine collection bag at the end of nephrostomy drainage tube according to the traditional method; the trial group was connected with a needleless closed in- fusion connector at the end of nephrostomy drainage tube, and then reconnected with urine collec- tion bag. The incidence of urine leakage, the junction rupture and separation of nephrostomy tube as well as postoperative infection was observed between two groups. Results In trial group, one case suffered from urine leakage and one from the junction separation, and the total incidence of nursing adverse reactions was 4.00%. In control group, 15 cases suffered from urine leakage, 8 from the junction rupture, 4 from the junction separation and 2 from postoperative infection, and the total incidence of nursing adverse reactions came up to 58.00%, which was significantly high- er than that in trial group （ P 〈 0.01 ）. Conclusion Application of needleless closed infusion connector in the connection of nephrostomy drainage tube can effectively reduce nursing adverse reactions, so it deserves to be popularized and applied in clinic.