CAJ | 학술논문

　　目的设计准确计量的无菌引流装置并探讨其使用效果。方法选择Ⅱ类切口腹腔手术患者126例，采用双盲抽签法，将126例患者随机分为实验组和对照组，每组各63例。对照组患者腹盆腔引流液使用一次性引流袋收集，目测引流袋刻度计量；实验组采用改良的计量方法进行计量。观察两组引流液计量的准确度，并对两组引流液做细菌培养。结果实验组的计量误差为（3.3±1.8）mL，对照组为（56.0±5.8）mL，两组比较，差异具有统计学意义（t＝-4.593，P＜0.01）。实验组细菌培养阳性率（15.9%）与对照组（17.5%）比较，差异无统计学意义（χ2＝0.057，P＞0.05）。结论改良的准确计量无菌引流装置在临床实践中方便护士操作，减轻护士工作量，减少污染发生。
　　목적설계준학계량적무균인류장치병탐토기사용효과。방법선택Ⅱ류절구복강수술환자126례，채용쌍맹추첨법，장126례환자수궤분위실험조화대조조，매조각63례。대조조환자복분강인류액사용일차성인류대수집，목측인류대각도계량；실험조채용개량적계량방법진행계량。관찰량조인류액계량적준학도，병대량조인류액주세균배양。결과실험조적계량오차위（3.3±1.8）mL，대조조위（56.0±5.8）mL，량조비교，차이구유통계학의의（t＝-4.593，P＜0.01）。실험조세균배양양성솔（15.9%）여대조조（17.5%）비교，차이무통계학의의（χ2＝0.057，P＞0.05）。결론개량적준학계량무균인류장치재림상실천중방편호사조작，감경호사공작량，감소오염발생。
Objective To design a kind of aseptic drainage device with safe practice and accurate measurement for clinical nurses. Methods The experiment group included 63 cases using drainage device with accurate measurement,and control group included 63 cases using disposal drainage bag with scale of visual measurement.The accuracy of drainage liquid measurement was compared between two groups,and bacterial culture was made for the drainage liquid of two groups.Results The measurement error of experiment group and control group was(3.31±1.8)mL and(56.0±5.8)mL,respectively.The difference was significant(t=-4.593,P<0.01).The bacterial culture results showed no obvious difference between two groups(positive rate were 15.9%vs 17.5%,χ2=0.057,P>0.05). Conclusion The accurately measured aseptic drainage device is convenient for nurses to practice in clinics,and its application can reduce workload of nurses and decrease the occurrence of pollution.