新型胸腔闭式引流管带在胸腔引流管固定中的临床应用

Nursing experience of new type thoracic closed drainage tube in conducting thoracic drainage tube fixation

目的探讨新型胸腔闭式引流管带在胸腔引流管固定中的临床应用及护理效果。方法随机选取2016年10月～2018年2月期间首都医科大学附属北京世纪坛医院收治的160例胸科手术后留置胸腔闭式引流管的患者,按照数字表法分为对照组和观察组,每组各80例。对照组给予常规手术缝合固定及护理,观察组在常规手术缝合固定的基础上,给予外覆盖新型胸腔闭式引流管带固定及其相应护理措施,对比分析两组患者的引流管固定效果情况。结果观察组引流时间、平均日引流量及住院时间明显少于对照组,差异有统计学意义(P<0.05);观察组更换胶布间隔时间、引流管脱管率明显优于对照组,差异有统计学意义(P<0.05);观察组术后非计划性拔管发生率、并发症发生率及复发率明显低于对照组,差异有统计学意义(P<0.05)。结论新型胸腔闭式引流管带行胸腔引流管固定治疗过程中给予针对性护理措施的应用效果显著,能减少引流量,缩短引流时间,降低临床非计划拔管率,预防并发症,降低复发率,可在临床推广应用。

Objective To explore the application and nursing experience of new type thoracic closed drainage tube in conducting thoracic drainage tube fixation.Methods 160 patients with thoracic closed drainage tube after thoracic surgery in our hospital were selected and randomly divided into the control group and the observation group,80 cases in each group.The control group was given conventional surgical suture fixation and nursing.The observation group was given covered new thoracic closed drainage tube fixation and nursing on the basis of the control group.The drainage tube fixing effect of two groups was comparatively analyzed.Results The drainage time,average daily drainage volume and hospitalization time of patients in the control group were significantly less than those in the control group and the differences were statistically significant ( P <0.05).The interval of replacing adhesive tape and the rate of drainage tube detachment in the observation group were significantly better than those in the control group ( P <0.05).The incidence of unplanned extubation,complications and recurrence rate of the patients in the observation group were significantly lower than those of the control group and the differences were statistically significant ( P <0.05).Conclusion The effect of target nursing during the process of thoracic drainage tube fixation with new type thoracic closed drainage tube is significant,which can reduce the drainage volume,decrease clinical unplanned extubation rate,shorten drainage time,prevent the incidence of complications,and reduce the recurrence rate.