改良式负压引流装置应用效果分析

发布时间：2018-06-02 00:47

本文选题：负压引流 + 护理　；参考：《中国医科大学学报》2016年01期

【摘要】：目的介绍一种自行改进的可以有效引流腔隙内渗出液的负压引流系统,并同传统引流系统及未经改进的负压引流系统进行对照,比较其引流效能。方法选取2012年1月至2014年12月行腹部手术、术后入住ICU的患者,按照接受引流方式的不同分为传统引流组(C组)、负压引流组(N组),其中负压引流组部分患者采用作者自行改进的负压引流器(M组),比较不同组别患者平均每日引流液量、敷料更换次数、倾倒负压球次数及入住ICU时间。结果共收集59例满足条件的患者,其中C组23例,N组18例,M组18例,3组患者年龄、性别、入住ICU时间等资料组间比较差异无统计学意义,N组患者每次负压球失去负压时,倾倒引流液经量筒精确测量,容量为(138.46±15.65)m L,相对负压球标定容量200 m L,回收率为(69.2±7.8)%。N组及M组患者倾倒负压球次数组间比较差异无统计学意义[分别为(3.50±3.19)次和(2.53±1.15)次,F=0.835,P=0.413]。3组间平均每日引流液量差异有统计学意义[C组:(75.43±50.86)m L,N组:(82.08±56.91)m L,M组:(131.67±65.15),F=5.478,P=0.007],更换敷料次数组间比较差异有统计学意义[C组:(1.39±1.03),N组:(2.11±1.41)次,M组:(0.50±0.71)次,χ~2=15.431,P0.001]。结论改良的负压引流设备在保留了负压引流高效能特点的基础上,避免了不良后果,减少了护理压力,简单易行,适合推广。
[Abstract]:Objective to introduce a self-improved negative pressure drainage system which can effectively drain the exudate in the cavity and compare the drainage efficiency with the traditional drainage system and the unmodified negative pressure drainage system. Methods patients who underwent abdominal surgery from January 2012 to December 2014 and were admitted to ICU after operation were selected. According to the different ways of receiving drainage, they were divided into two groups: group C (traditional drainage group) and group N (negative pressure drainage group). Some patients in negative pressure drainage group were treated with self-modified negative pressure drainage device (group M), and the average amount of drainage fluid per day in different groups was compared. Dressing change times, negative pressure ball tipping times and ICU stay time. Results A total of 59 patients were enrolled in this study. Among them, 23 patients in group C, 18 patients in group N, 18 patients in group M, 18 patients in group M, and 18 patients in group 3 had no significant difference in age, sex, time to stay in ICU, etc. There was no significant difference between the two groups when the negative pressure ball of group N lost negative pressure. The pouring drainage fluid was accurately measured by the measuring tube, The volume is 138.46 卤15.65mL, the relative negative pressure sphere is 200 mL, and the recovery rate is 69.2 卤7.8 渭 m / L. There is no significant difference between the two groups [3.50 卤3.19 times and 2.53 卤1.15 times F0.835P0.413, respectively] .3 groups have no significant difference in daily drainage volume. There was statistical significance [75.43 卤50.86m / L / L in group C: 82.08 卤56.91m / L / m / M group (131.67 卤65.1555.478P0. 007), and there was a significant difference in the number of dressing changes between groups [group C: 1: 1.39 卤1.03N group: 2.11 卤1.41), group M: 0.50 卤0.71), 蠂 ~ 2 4315.1g P0.001] Conclusion on the basis of retaining the high efficiency of negative pressure drainage, the improved negative pressure drainage equipment can avoid the adverse consequences, reduce the nursing pressure, be simple and feasible, and be suitable for popularization.
【作者单位】：中国医科大学附属盛京医院手术室;中国医科大学附属盛京医院ICU;
【分类号】：R473.6

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