清洁灌肠联合快速加压冲管治疗腹透管移位临床疗效观察
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摘要
目的观察清洁灌肠联合快速加压冲管治疗腹透管移位临床疗效。方法选择医院2017年6月—2018年6月收治的腹透管移位患者30例,按随机数字表法分为研究组和对照组,每组15例。对照组采取予以生理盐水50 mL+肝素钠10 mg注入腹透管内后封管,4次/日,期间停止腹膜透析治疗;研究组予以生理盐水清洁灌肠联合快速加压冲管治疗腹透管移位,2次/日,间歇性腹膜透析治疗。比较腹透管复位成功率、不良反应发生率。结果研究组腹透管复位成功率(86. 7%)显著高于对照组(66. 7%),差异有统计学意义(P <0. 05);研究组不良反应发生率(6. 67%)显著低于对照组(13. 03%),差异有统计学意义(P <0. 05)。结论清洁灌肠联合快速加压冲管治疗腹透管移位,可有效提高腹透管复位成功率,减少不良反应,安全性更高,值得借鉴。
Objective To observe the clinical efficacy of cleansing enema combined with rapid compression tube for the treatment of transabdominal tube displacement. Methods Thirty patients with a retroperitoneal tube transposition from June 2017 to June 2018 were enrolled in the hospital. They were divided into study group and control group according to random number table,with 15 cases in each group. In the control group,50 mL of normal saline and 10 mg of heparin sodium were injected into the peritoneal tube to seal the tube,4 times/day,and the peritoneal dialysis treatment was stopped. The study group was given a saline cleansing enema combined with a rapid pressure tube for the transabdominal tube displacement. Secondary/day,intermittent peritoneal dialysis treatment; compare the success rate of abdominal perforation reduction,the incidence of adverse reactions. Results The success rate of abdominal perforation reduction in the study group( 86. 7%) was significantly higher than that in the control group( 66. 7%),and the difference was statistically significant( P < 0. 05). The incidence of adverse reactions in the study group( 6. 67%) was significantly lower than that in the control group( 13. 03%),the difference was statistically significant( P < 0. 05). Conclusion Clean enema combined with rapid pressure tube for the treatment of transabdominal tube displacement can effectively improve the success rate of peritoneal tube reduction,reduce adverse reactions,and have higher safety,which is worth learning.
Objective To observe the clinical efficacy of cleansing enema combined with rapid compression tube for the treatment of transabdominal tube displacement. Methods Thirty patients with a retroperitoneal tube transposition from June 2017 to June 2018 were enrolled in the hospital. They were divided into study group and control group according to random number table,with 15 cases in each group. In the control group,50 mL of normal saline and 10 mg of heparin sodium were injected into the peritoneal tube to seal the tube,4 times/day,and the peritoneal dialysis treatment was stopped. The study group was given a saline cleansing enema combined with a rapid pressure tube for the transabdominal tube displacement. Secondary/day,intermittent peritoneal dialysis treatment; compare the success rate of abdominal perforation reduction,the incidence of adverse reactions. Results The success rate of abdominal perforation reduction in the study group( 86. 7%) was significantly higher than that in the control group( 66. 7%),and the difference was statistically significant( P < 0. 05). The incidence of adverse reactions in the study group( 6. 67%) was significantly lower than that in the control group( 13. 03%),the difference was statistically significant( P < 0. 05). Conclusion Clean enema combined with rapid pressure tube for the treatment of transabdominal tube displacement can effectively improve the success rate of peritoneal tube reduction,reduce adverse reactions,and have higher safety,which is worth learning.
引文
[1]张敏,崔文鹏,尤针针,等.浅谈腹膜透析导管移位的病因及预防策略[J].中国实验诊断学,2016,20(7):1219-1222.
[2]崔顺子.探讨两种清洁灌肠法效果比较[J].中国保健营养,2015,25(9):119-120.
[3]朱幼平,袁慧中.维持性血液透析患者带Cuff的中心静脉导管移位的原因及预防[J].鄂州大学学报,2016,23(5):110-112.
[4]黄静,林莉,张红,等.四种冲洗方式预防腹膜透析早期导管移位效果比较[J].护理学杂志,2014,29(11):7-9.
[5]梁小红.渐入深度清洁灌肠与传统清洁灌肠的效果比较研究[J].临床医学工程,2015,22(5):658-659.
[6]李红波,王小琴,熊飞,等.腹带加压预防腹膜透析患者术后并发症的临床观察[J].内科,2014,9(5):536-538.
[7]王晓明,冯婷,金刚,等.改良置管方式对腹膜透析患者早期导管技术生存率的临床分析[J].临床肾脏病杂志,2015,15(1):21-24.
[8]张文贤,刘伯英,肖艳美,等.腹透管入腹下位切口套扎固定纠正难治性飘管移位的技术管理应用[J].中国卫生产业,2016,13(6):26-28.
[2]崔顺子.探讨两种清洁灌肠法效果比较[J].中国保健营养,2015,25(9):119-120.
[3]朱幼平,袁慧中.维持性血液透析患者带Cuff的中心静脉导管移位的原因及预防[J].鄂州大学学报,2016,23(5):110-112.
[4]黄静,林莉,张红,等.四种冲洗方式预防腹膜透析早期导管移位效果比较[J].护理学杂志,2014,29(11):7-9.
[5]梁小红.渐入深度清洁灌肠与传统清洁灌肠的效果比较研究[J].临床医学工程,2015,22(5):658-659.
[6]李红波,王小琴,熊飞,等.腹带加压预防腹膜透析患者术后并发症的临床观察[J].内科,2014,9(5):536-538.
[7]王晓明,冯婷,金刚,等.改良置管方式对腹膜透析患者早期导管技术生存率的临床分析[J].临床肾脏病杂志,2015,15(1):21-24.
[8]张文贤,刘伯英,肖艳美,等.腹透管入腹下位切口套扎固定纠正难治性飘管移位的技术管理应用[J].中国卫生产业,2016,13(6):26-28.