改良导管固定方式在腰大池外引流术患者中的应用

Application of modified catheter fixation in patients undergoing external drainage of lumbar cisterna

目的探讨改良导管固定方式在腰大池引流术后患者中的应用效果。方法选取该科行腰大池外引流术后患者作为研究对象,按置管时间顺序分为观察组和对照组。其中选择2021年8月至2022年1月的74例腰大池外引流患者作为观察组,采取“五步法”固定引流管;选择2021年1-7月的74例腰大池外引流患者作为对照组,给予传统导管固定方法。比较两组患者脱管、堵管、脑脊液渗漏发生率,患者满意度。结果两组患者脱管、堵管、脑脊液渗漏发生率,患者满意度比较,差异均有统计学意义(χ^(2)=5.781、4.015、4.132、4.812,P<0.05)。结论腰大池外引流术后采取“五步法”固定导管方式,降低了术后脱管、堵管、脑脊液渗漏等不良事件的发生率,提高了临床护理质量。

Objective To explore the effect of modified catheter fixation in patients after lumbar cisterna drainage.Methods The patients who underwent lumbar cisterna drainage in the neurosurgery department of the hospital were randomly divided into the observation group and the control group according to the time order of catheterization.Among them,74 patients with lumbar cistern drainage from August to January 2022 were selected as the observation group,and the drainage tube was fixed by the"five-step method",and 74 patients with external lumbar cistern drainage from January 2021 to July 2021 were selected as the control group,and the traditional catheter fixation method was given.The incidence of catheter removal,tube blocking,cerebrospinal fluid leakage,and patient satisfaction were compared between the two groups.Results There were statistically significant differences in catheter removal(χ^(2)=5.781,P<0.05),tube blocking(χ^(2)=4.015,P<0.05),cerebrospinal fluid leakage(χ^(2)=4.132,P<0.05)and satisfaction(χ^(2)=4.812,P<0.05)between the two groups.Conclusion The"five-step method"to fix the catheter after external drainage of lumbar cistern can reduce the occurrence of adverse events such as catheter detachment,catheter blockage and cerebrospinal fluid leakage after operation,and improve the quality of clinical nursing.