注射器胶塞固定法在减少癌性腹水患者腹腔引流管穿刺点渗液中的效果评价

Effect evaluation of syringe rubber plug fixation method in reducing peritoneal drainage tube puncture point exudation in patients with cancer ascites

目的探讨注射器胶塞固定法对于减少引流管口渗液的效果。方法选取2021年7—9月在医院行腹腔穿刺引流的60例恶性肿瘤伴发腹水患者,按组间基本特征可比原则将患者分为对照组和观察组各30例。对照组采用传统纱布换药敷料方式对腹腔引流管周边渗液进行收集,观察组行无菌透明敷贴外加蝶形胶布联合小藻酸盐敷料及20 ml注射器胶塞固定。比较两组患者换药间隔时长、换药次数、术后并发症发生情况、患者的舒适度、对护理满意度。结果观察组患者换药间隔时长优于对照组,换药次数少于对照组,并发症发生情况低于对照组,组间比较差异有统计学意义(P<0.05);观察组患者舒适度及对护理满意度高于对照组,差异有统计学意义(P<0.05)。结论对于恶性肿瘤腹水患者采用无菌透明敷贴外加蝶形胶布联合小藻酸盐敷料及20 ml注射器胶塞固定的方法,能够有效提高患者舒适度,降低腹腔引流期间的并发症,提高患者的护理满意度。

Objective To explore the eff ect of syringe rubber plug fi xation on reducing drainage tube orifi ce effusion.Methods A total of 60 patients with malignant tumors complicated with ascites who underwent abdominal puncture and drainage in the hospital from July to September 2021 were selected and divided into a control group and an observation group according to the principle of comparison of basic characteristics between groups,with 30 cases in each group.The exudate around the abdominal drainage tube in the control group was collected by traditional gauze dressing,the observation group was fi xed by sterile transparent application plus butterfly tape combined with microalginate dressing and 20 ml syringe plug.The interval of dressing change,dressing change times,postoperative complications,patients'comfort and nursing satisfaction were compared between the two groups.Results The interval of dressing change in the observation group was better than the control group,the frequency of dressing change was less than the control group,the incidence of complications was lower than the control group,the differences between the groups were statistically significant(P<0.05).The comfort and nursing satisfaction of patients in the observation group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion For patients with malignant tumor ascites,the method of sterile transparent application,butterfl y adhesive cloth,small alginate dressing and 20 ml syringe rubber plug fi xation could eff ectively improve the comfort of patients,reduce the complications during abdominal drainage,and improve the nursing satisfaction of patients.