护理干预对胸腔闭式引流治疗胸腔积液疗效的影响陈萍.docVIP

精品论文 参考文献 护理干预对胸腔闭式引流治疗胸腔积液疗效的影响陈萍 广元市第二人民医院 四川 广元 628017 【摘要】目的 探讨护理干预对胸腔闭式引流治疗胸腔积液疗效的影响。方法 选取自我院进行胸腔闭式引流手术患者随机分为实验组和对照组，每组各35例。对照组采用常规护理，实验组采取护理干预，记录两组引流情况和术后3个月随访并发症发生情况。结果 实验组日平均引流量显著低于对照组，差异有统计学意义（Plt;0.05），而在引流时间上两组比较差异无统计学意义（Pgt;0.05）；两组在并发症发生率上比较差异有统计学意义（Plt;0.05）。结论 护理干预在胸腔闭式引流治疗胸腔积液的治疗效果中起到了重要的作用，有利于患者的恢复，且使手术更加安全可靠，减轻患者疼痛和经济压力，在临床上值得推广。 【关键词】护理干预；胸腔闭式引流；胸腔积液 Influence of Nursing Intervention on the Curative Effect of Thoracic Cavity Drainage in the Treatment of Pleural Effusion Abstract：Objective：To explore the nursing intervention of closed thoracic drainage in the treatment of pleural effusion in effect.Methods：a total of self hospital thoracic closed drainage surgery were randomly divided into experimental group and control group，each 35 cases in each.The control group received routine nursing care，the experimental group take nursing intervention，the two group drainage and postoperative 3 months follow-up complications occurrence recorded.Results：in the experimental group，the average flow was significantly lower than that of the control group，the difference is statistically significant（P lt; 0.05），and the drainage time difference between the two groups was not statistically significant（P gt; 0.05）；two groups in complication rate differences was statistically significant（P lt; 0.05）.Conclusion：the nursing intervention in the thoracic cavity closed drainage treatment plays an important role in the treatment of pleural effusion，is conducive to the patients recovery and make the operation more safe and reliable，relieve the pain of patients and economic pressure，in clinical practice is worthy to be popularized. Key words：nursing intervention；thoracic closed drainage；pleural effusion [中图分类号] R561 [文献标识码] A [文章编号]1672-5018（2016）04-003-01 胸腔积液是临床上常见的症状之一。很多疾病如结核性胸膜炎等都会引起胸腔积液。胸腔闭式引流是目前临床上最快速、最常用的治疗方法。但是胸腔闭式引流需要将引流管插入胸腔，是胸腔内的积液、气体持续排出，在这个过程其实很容易感染，所以在进行胸腔闭式引流的护理过程极为重要，对引流成功率和日后恢复有很大的帮助[1]。本研究通过对胸腔闭式引流全过程进行护理干预，目的在于减少并发症，提高引流排液效率，促进患者恢复。现报道如下。