CAJ | 학술논문

目的：探讨尿路造口袋用于经皮肾术后肾造瘘管口渗液收集的临床效果。方法选取收治的经皮肾镜取石术（ PCNL）术后肾造瘘管伤口渗液多的患者32例，随机分为实验组和对照组，每组16例。实验组使用尿路造口袋收集渗液，对照组采用常规换药方法处理渗液。对比两组患者的自我感觉不舒适例数、伤口周围皮肤有无潮红、伤口护理次数、护理时间以及产生的费用情况。结果实验组的自我感觉不舒适例数、伤口周围皮肤潮红例数、伤口护理次数、护理时间以及产生的费用与对照组比较均有显著性差异﹙均P＜0.05﹚。结论采用尿路造口袋收集PCNL术后肾造瘘管口渗液能提高患者舒适度，保护伤口周围皮肤，降低伤口感染的发生率，减少换药次数，从而节省换药费用，并能准确记录渗液量，提高伤口的护理效果。
목적：탐토뇨로조구대용우경피신술후신조루관구삼액수집적림상효과。방법선취수치적경피신경취석술（ PCNL）술후신조루관상구삼액다적환자32례，수궤분위실험조화대조조，매조16례。실험조사용뇨로조구대수집삼액，대조조채용상규환약방법처리삼액。대비량조환자적자아감각불서괄례수、상구주위피부유무조홍、상구호리차수、호리시간이급산생적비용정황。결과실험조적자아감각불서괄례수、상구주위피부조홍례수、상구호리차수、호리시간이급산생적비용여대조조비교균유현저성차이﹙균P＜0.05﹚。결론채용뇨로조구대수집PCNL술후신조루관구삼액능제고환자서괄도，보호상구주위피부，강저상구감염적발생솔，감소환약차수，종이절성환약비용，병능준학기록삼액량，제고상구적호리효과。
Objective To explore the clinical effect of urinary tract made pockets for percutaneous renal postoperative fistula mouth drainage collection.Methods A total of 32 patients who were given percutaneous nephroscope lithotomy (PCNL) postoperative renal fistula with much wound drainage , were divided into experimental group and control group randomly , 16 cases in each group.The experimental group were given urinary bag to collect the drainage , the control group were given the conventional method to treat the drainage.The uncom-fortable cases, wound surrounding skin with and without hot flashes , number of wound care , nursing time and the cost of two groups were compared.Results The feel uncomfortable cases , flush on the surrounding skin wound cases , number of wound care , nursing time and cost compared had significant differences between the two groups ( P<0.05 ) .Conclusions Using the urinary tract made bag collected PCNL postoperative renal fistula mouth drainage can improve patient comfort and protect the skin around the wound , reduce the incidence of wound infection, reduce the switching frequency , thereby saving switching cost , and can accurately record the drainage volume , improve the effect of wound care.