中心吸痰装置在肠吻合术后肠瘘负压引流护理中的应用
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摘要
目的分析中心吸痰装置在肠吻合术后肠瘘负压引流护理中的应用效果。方法选取2015年8月～2017年7月我院收治的80例肠吻合术后肠瘘患者,根据就诊的单双号进行分组,单号的为观察组,双号的为对照组,每组各40例。对照组通过引流管进行引流,观察组采用中心吸痰装置行持续负压引流。比较两组的康复时间、切口感染发生率、换药次数及患者护理前后生活质量。结果观察组排气时间、拔管时间、瘘口愈合时间及住院时间均明显短于对照组(P<0.05);观察组切口感染发生率低于对照组(P<0.05);两组护理前社会功能、心理功能、躯体功能、物质生活评分比较,差异无统计学意义(P>0.05);观察组护理后社会功能、心理功能、躯体功能评分明显高于对照组,差异均有统计学意义(P<0.05);两组护理后物质生活评分比较,差异无统计学意义(P>0.05)。结论中心吸痰装置在肠吻合术后肠瘘负压引流护理中应用,可有效地缩短患者康复时间,并降低感染和改善生活质量。
Objective To analyze the effect of central suction device in nursing of patients with intestinal fistula after negative pressure drainage after intestinal anastomosis. Methods Eighty patients with intestinal fistula who underwent enteroanastomosis from August 2015 to July 2017 were selected and grouped according to a single and double number of visits. With single number were observed group, and with double number were control group, 40 cases in each group.The control group was drained by drainage tube, and the observation group was received continuous negative pressure drainage with central suction device. The recovery time, incidence of wound infection, frequency of dressing change and quality of life before and after treatment were compared between the two groups. Results The exhaust time, extubation time, healing time and length of stay in the observation group were significantly shorter than those in the control group(P<0.05). The incidence of incision infection in the observation group was lower than that in the control group(P<0.05).There was no significant difference in the scores of social function, psychological function, physical function and material life between the two groups before nursing(P>0.05). The scores of social function, psychological function and physical function of the observation group were significantly higher than those of the control group after nursing, the differences were statistically significant(P<0.05). There was no significant difference in the scores of material life between the two groups after nursing(P>0.05). Conclusion The central suction device can effectively shorten the recovery time and reduce the infection and improve the quality of life in the nursing of intestinal fistula negative pressure drainage after intestinal anastomosis.
Objective To analyze the effect of central suction device in nursing of patients with intestinal fistula after negative pressure drainage after intestinal anastomosis. Methods Eighty patients with intestinal fistula who underwent enteroanastomosis from August 2015 to July 2017 were selected and grouped according to a single and double number of visits. With single number were observed group, and with double number were control group, 40 cases in each group.The control group was drained by drainage tube, and the observation group was received continuous negative pressure drainage with central suction device. The recovery time, incidence of wound infection, frequency of dressing change and quality of life before and after treatment were compared between the two groups. Results The exhaust time, extubation time, healing time and length of stay in the observation group were significantly shorter than those in the control group(P<0.05). The incidence of incision infection in the observation group was lower than that in the control group(P<0.05).There was no significant difference in the scores of social function, psychological function, physical function and material life between the two groups before nursing(P>0.05). The scores of social function, psychological function and physical function of the observation group were significantly higher than those of the control group after nursing, the differences were statistically significant(P<0.05). There was no significant difference in the scores of material life between the two groups after nursing(P>0.05). Conclusion The central suction device can effectively shorten the recovery time and reduce the infection and improve the quality of life in the nursing of intestinal fistula negative pressure drainage after intestinal anastomosis.
引文
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[12]张娅,龙莹,王琴,等.负压引流技术在小肠瘘术后再发肠瘘伴会阴部感染患者的护理[J].实用临床护理学电子杂志,2017,2(7):197-198.
[13]张彦斌,姬忠贺,刘刚,等.双套管持续冲洗负压引流治疗腹膜癌术后胃肠瘘[J].中华普通外科杂志,2017,32(6):505-507.
[14]孙红玲,许彩云,夏金萍,等.9例肠外瘘患者早期持续冲洗联合负压引流的护理[J].中华护理杂志,2013,48(11):1025-1026.
[15]吴芸芸,罗秀丽,梁成芳,等.简易负压吸引在肠瘘修补术后难愈性伤口护理中的应用[J].当代临床医刊,2017,30(3):3145-3146.
[2]秦凯迪,童仕伦,郑勇斌,等.胃肠道术后显性肠瘘与隐性肠瘘临床特征分析[J].腹部外科,2015,28(3):159-163.
[3]刘志平,王家文,钱小星.自制低负压吸引器治疗B级胃肠术后吻合口漏的临床疗效[J].国际外科学杂志,2016,43(8):527-529.
[4]段景芝.造口袋与持续负压引流联合应用于肠瘘患者的护理[J].当代护士,2014,(7):35-36.
[5]黄弘,陈思.优质护理在普外科高龄患者预防切口感染中的应用价值[J].中国实用护理杂志,2015,31(26):1978-1980.
[6]钱丽芳,周雁荣,罗亮春.综合性护理对心脏手术患者术后胃肠功能及康复希望的影响[J].国际护理学杂志,2015,34(3):348-350.
[7]邓丽彩,张馨,罗小红,等.负压封闭引流技术在肠外瘘患者的应用效果观察[J].中国临床新医学,2016,9(2):162-164.
[8]黄埔,黄鹤,洪书剑,等.采用seldinger技术置双套管负压引流吸引在肠瘘治疗中的应用分析[J].皖南医学院学报,2017,36(3):256-259.
[9]张华,程勇.新型敷料联合造口用品在肠瘘中的应用[J].重庆医学,2013,42(25):2997-2998.
[10]范文娟,赵洁,俞文隆.胆肠吻合术后肠瘘合并感染性休克1例观察与护理[J].齐鲁护理杂志,2013,19(22):122-124.
[11]曹艳,马颖丽.1例胃大部切除毕Ⅱ式吻合术后不完全性肠梗阻伴复杂肠瘘患者的护理体会[J].中西医结合护理(中英文),2016,2(2):132-133.
[12]张娅,龙莹,王琴,等.负压引流技术在小肠瘘术后再发肠瘘伴会阴部感染患者的护理[J].实用临床护理学电子杂志,2017,2(7):197-198.
[13]张彦斌,姬忠贺,刘刚,等.双套管持续冲洗负压引流治疗腹膜癌术后胃肠瘘[J].中华普通外科杂志,2017,32(6):505-507.
[14]孙红玲,许彩云,夏金萍,等.9例肠外瘘患者早期持续冲洗联合负压引流的护理[J].中华护理杂志,2013,48(11):1025-1026.
[15]吴芸芸,罗秀丽,梁成芳,等.简易负压吸引在肠瘘修补术后难愈性伤口护理中的应用[J].当代临床医刊,2017,30(3):3145-3146.