一件式泌尿造口袋收集腹腔引流管口渗漏液的护理运用.docxVIP

??

?

??

一件式泌尿造口袋收集腹腔引流管口渗漏液的护理运用

?

??

?

?

?

?

?

?

?

???

?

?

?

?

?

【摘要】目的探讨使用一件式泌尿造口袋收集腹腔引流管口渗液的临床效果。方法收集2015年1月至2015年12月我科腹腔术后发生腹腔引流管口渗漏液的患者共60例，随机分为实验组和对照组各30例。对照组使用传统换药方法，实验组在对照组基础上运用一件式泌尿造口袋收集腹腔引流管口渗漏液，对比分析两组引流管口渗漏液处的临床疗效。结果实验组患者引流管口周围皮肤皮炎、切口感染发生率明显下降，平均换药次数、更换被服次数、换药成本降低。结论使用一件式泌尿造口袋收集腹腔引流管口渗液能有效降低渗漏处周围皮肤皮炎的发生、降低切口感染发生率、节约医疗资源、减轻医护人员工作量，值得临床推广应用。

【关键词】泌尿造口袋；腹腔引流管；渗漏液

One-PieceUrostomyPouctocollectperitonealdrainagepipeleakagefistulausinginfiltrationnursing

PuHuirong,ZhaoQiongmei,FangXingbao（Departmentofgeneralsurgery,QujingFirstPeoplesHospital,Qujing655000,YunnanProvince）

【ABSTRACT】ObjectiveToexploretheclinicaleffectofusingone-pieceurostomypouchtocollecttheliquidexudingfromperitonealdrainagepipes.MethodsInthisstudy,wecollected60casesofpatientswhoappearedabdominaldrainagepipefluidafterabdominalsurgeryinourdepartmentfromJanuary2015toDecember2015,andrandomlypidedthemintoexperimentalgroupandcontrolgroupwith30casesineach.Thepatientsincontrolgroupweretreatedbytraditionaldressingchange,thepatientsinexperimentalgroupweretreatedbyplacingthedrainagetubeendinone-pieceurostomypouchattachedtocollecttheliquidonthebasisofcontrolgroup,andthentheclinicaleffectoftreatmentsintwogroupswascomparativeanalyzed.ResultsPatientsintheexperimentalgroupdrainagetubearoundthemouthskindermatitis,incisioninfectionincidencedecreasedsignificantly,averagenumberofdressings,replacementclothingtimes,dressingchangecostreduced.ConclusionsUseaurinaryostomybagcollectedperitonealdrainagetubeexudatecaneffectivelyreducetheleakageatthesurroundingskindermatitisoccurs,reducetheincidenceofwoundinfectionrate,savemedicalresourcesandreducetheworkloadofmedicalstaff,isworthyofclinicalapplication.

【KEYWORDS】One-PieceUrostomyPouc;Peritonealdrainagetube;Leakake

留置腹腔引流管是腹部外科手术中最常见、最主要的基本技术之一

[1]，目的