王蕾,李方.数字式胸腔引流系统在胸腔镜术后肺漏气患者中的应用及护理[J].上海护理,2018,18(9):
数字式胸腔引流系统在胸腔镜术后肺漏气患者中的应用及护理
DOI:
中文关键词:  胸腔镜下肺切除术后  肺漏气  数字式胸腔引流系统
英文关键词:video assisted thoracoscopic surgery lung resection  alveolar air leakage  digital chest drainage system
基金项目:
作者单位E-mail
王蕾 江苏省人民医院 hand2399@163.com 
李方* 江苏省人民医院 lifangcf@163.com 
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中文摘要:
      目的 探讨数字式胸腔引流系统在胸腔镜下肺切除术后肺漏气患者中的应用效果及护理方法。方法 选取60例胸腔镜下肺切除术后出现肺漏气患者,随机分成试验组和对照组,每组30例。试验组应用数字式胸腔引流系统做胸腔闭式引流,对照组采用传统水封瓶式做胸腔闭式引流。比较两组患者的治愈率、留管时间、引流期间并发症的发生率、平均住院日,舒适度及护理满意度。结果 试验组的治愈率较对照组明显改善(P<0.05),留管时间、平均住院日较对照组明显减少(P<0.05),舒适度及护理满意度明显高于对照组(P<0.05),引流期间并发症发生率无明显差异(P>0.05)。结论 数字式胸腔引流系统的应用可改善胸腔镜下肺切除术后肺漏气患者的治疗效果,减少引流时间、平均住院日,提高患者生活质量及护理满意度。
英文摘要:
      Objective To investegate the efficacy and nursing experience of a digital chest drainage system for patients who have alveolar air leakage after video-assisted thoracoscopic surgery lung resection. Methods Totally 60 patients have alveolar air leakage after video-assisted thoracoscopic surgery lung resection were recruited and divided into two groups randomly with 30 patients in each group. The treatment group was managed with digital chest drainage system, and the control group was managed with traditional chest drainage system. The comparison between the two groups were performed on curative ratio, duration of chest drainage, incidence of complications, mean hospital stays, comfortable level and nursing satisfaction. Results The curative ratio in the treatment group was higher than that in control group(P<0.05). The duration of chest drainage in the treatment group was shorter than that in control group(P<0.05). The treatment group had shorter mean hospital stays than the control group(P<0.05). The comfortable level and nursing satisfaction in treatment group was higher than that in control group(P<0.05). The incidence of complications of the two groups had no significant difference(P>0.05). Conclusion Managing patients who have alveolar air leakage after video-assisted thoracoscopic surgery lung resection with a digital chest drainage system appears to increase the curative ratio, reduce the duration of chest drainage and mean hospital stays, promote the comfortable level and nursing satisfaction.
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