国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2009年
4期
441-443
,共3页
胸腔穿刺%传统的胸腔穿刺针%新型一次性胸腔抽液针%效果
胸腔穿刺%傳統的胸腔穿刺針%新型一次性胸腔抽液針%效果
흉강천자%전통적흉강천자침%신형일차성흉강추액침%효과
Thoracentesis%Traditional pneumothorax needle%New type disposable pneumothorax needle:Effect
目的 探讨自制的新型一次性胸腔抽液针的临床应用效果.方法 根据Y形静脉留置针的制作材料和形状,设计制作成带有刻度和侧孔的新型一次性胸腔抽液针并应用于临床.选择68例胸腔积液的病人,随机分为观察组和对照组.对照组采用传统的胸腔穿刺针进行穿刺抽液,观察组采用新型的一次性胸腔抽液针进行穿刺抽液.观察两种穿刺针在疼痛程度、患者满意度、医生满意度及并发症发生率等方面有无差异性.结果 两种穿刺针在疼痛程度、患者满意度、医生满意度方面差异有统计学意义(P＜0.01).并发症发生率比较发现,观察组抽吸顺利无反应,无医源性损伤和胸膜反应出现;34例患者留置套管5～8 d,无1例感染发生.对照组有3例发生胸膜反应.结论 新型一次性胸腔抽液针可以在治疗期间内保留在患者的身体上,减少了因反复多次抽液带来的痛苦,安全可靠,医务人员操作方便;易掌握穿刺深浅,可避免意外损伤的发生,并且制作简单、价格低廉,适合基层医院推广应用.
目的 探討自製的新型一次性胸腔抽液針的臨床應用效果.方法 根據Y形靜脈留置針的製作材料和形狀,設計製作成帶有刻度和側孔的新型一次性胸腔抽液針併應用于臨床.選擇68例胸腔積液的病人,隨機分為觀察組和對照組.對照組採用傳統的胸腔穿刺針進行穿刺抽液,觀察組採用新型的一次性胸腔抽液針進行穿刺抽液.觀察兩種穿刺針在疼痛程度、患者滿意度、醫生滿意度及併髮癥髮生率等方麵有無差異性.結果 兩種穿刺針在疼痛程度、患者滿意度、醫生滿意度方麵差異有統計學意義(P＜0.01).併髮癥髮生率比較髮現,觀察組抽吸順利無反應,無醫源性損傷和胸膜反應齣現;34例患者留置套管5～8 d,無1例感染髮生.對照組有3例髮生胸膜反應.結論 新型一次性胸腔抽液針可以在治療期間內保留在患者的身體上,減少瞭因反複多次抽液帶來的痛苦,安全可靠,醫務人員操作方便;易掌握穿刺深淺,可避免意外損傷的髮生,併且製作簡單、價格低廉,適閤基層醫院推廣應用.
목적 탐토자제적신형일차성흉강추액침적림상응용효과.방법 근거Y형정맥류치침적제작재료화형상,설계제작성대유각도화측공적신형일차성흉강추액침병응용우림상.선택68례흉강적액적병인,수궤분위관찰조화대조조.대조조채용전통적흉강천자침진행천자추액,관찰조채용신형적일차성흉강추액침진행천자추액.관찰량충천자침재동통정도、환자만의도、의생만의도급병발증발생솔등방면유무차이성.결과 량충천자침재동통정도、환자만의도、의생만의도방면차이유통계학의의(P＜0.01).병발증발생솔비교발현,관찰조추흡순리무반응,무의원성손상화흉막반응출현;34례환자류치투관5～8 d,무1례감염발생.대조조유3례발생흉막반응.결론 신형일차성흉강추액침가이재치료기간내보류재환자적신체상,감소료인반복다차추액대래적통고,안전가고,의무인원조작방편;역장악천자심천,가피면의외손상적발생,병차제작간단、개격저렴,괄합기층의원추엄응용.
Objective To observe the effect of new type disposable pneumothorax needle.Methods According to the material and shape of the Y shape vein detain needle.new type disposable pneumothorax needle with scale and lateral aperture were manufactured.68 patients with pleural effussion were divided into observation group and control group randomly.The new type disposable pneumothorax needle and traditional pneumothorax needle were used in the two groups respectively.The pain and satisfaction grade of patients,the satisfaction grade of doctor and the complications were observed.Results The pain and satisfaction grade of patients and doctor were different significantly between the two groups(P＜0.01).There were no iatrogenic injury,pleura reaction and infection after 5～8 days in observation group,and 3 patients had pleura reaction in control group.Conclusions The new type disposable pneumothorax needle can be fixed in the patient's body easily and safely.It can reduce patient's pain and accidental injury.Furthermore,it is low cost and ease of use,so it is deserved to be popularized in primary hospital.
