胸腔闭式引流术治疗胸腔积液的护理体会

Nursing Experience of Closed Thoracic Drainage in the Treatment of Pleural Effusion

目的探讨胸腔闭式引流术治疗胸腔积液的护理体会。方法选择我院在2018年6月至2020年6月收治的采用胸腔闭式引流术治疗的100例胸腔积液患者作为观察对象,通过随机数字表法将其分为对照组和试验组,每组50例,对照组采用常规护理干预,试验组采用综合护理干预,比较两组患者护理后的日均引流量、胸腔积液消失时间、并发症发生情况。结果试验组护理后的日均引流量为(522.75±184.37)mL,少于对照组的(844.42±351.74)mL,差异有统计学意义(P<0.05);试验组护理后的胸腔积液消失时间为(5.20±1.19)d,短于对照组的(7.22±2.08)d,差异有统计学意义(P<0.05);试验组护理后的并发症总发生率为6.00%(3/50),低于对照组的22.00%(11/50),差异有统计学意义(P<0.05)。结论对于胸腔积液患者在采用胸腔闭式引流术治疗时辅以综合护理干预可进一步提高治疗效果,不仅有利于降低并发症率,而且还可以进一步加快胸腔积液的消失时间,促进患者早日康复。

Objective To explore the nursing experience of closed thoracic drainage in the treatment of pleural effusion.Methods A total of 100 patients with pleural effusion treated by closed thoracic drainage in our hospital from June 2018 to June 2020 were selected as the observation objects.They were randomly divided into the control group and the experimental group with 50 cases in each group.The control group was treated with routine nursing intervention,and the experimental group was treated with comprehensive nursing intervention.The average daily drainage,the disappearance time of pleural effusion and complications of the two groups were compared.Results The average daily drainage volume of the experimental group after nursing was(522.75±184.37)mL,which was less than(844.42±351.74)mL of the control group,the difference was statistically significant(P<0.05);the pleural effusion disappearance time of the experimental group after nursing was(5.20±1.19)d,which was shorter than(7.22±2.08)d of the control group,the difference was statistically significant(P<0.05);the total incidence of complications after nursing in the experimental group was 6.00%(3/50),which was lower than 22.00%(11/50)in the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with pleural effusion,comprehensive nursing intervention can further improve the treatment effect,which is not only conducive to reduce the complication rate,but also can further accelerate the disappearance time of pleural effusion,and promote the early recovery of patients.