CAJ | 학술논문

目的：比较一次性引流袋更换时间对胆道T管引流患者发生感染的风险，探讨普通及抗反流一次性引流袋对患者最为获益的更换时间。方法将144例行胆道T管引流术且胆汁细菌培养结果阴性的患者按随机数字表法随机分为3组，A组与B组使用一次性普通引流袋，A组每天更换，B组每周更换，C组使用一次性抗反流引流袋，每周更换。抽取引流袋胆汁做细菌学监测，比较3组患者胆道T管引流术后第5天与第10天细菌培养阳性例数、更换一次性引流袋次数与相关费用。结果3组患者胆道T管引流术后第5天与第10天细菌培养阳性例数比较差异均无统计学意义（χ2值分别为0．51，1．64；P＞0．05）。 A、B、C 3组患者更换引流袋次数比较差异有统计学意义（F＝1379．17，P＜0．01）；3组更换引流袋费用比较差异有统计学意义（F＝229．19，P＜0．01）。结论对于胆汁细菌培养阴性的胆道T管引流的患者，使用一次性普通引流袋且每周更换对患者最为获益，其感染风险较低，与抗反流引流袋相似，并可降低患者费用及护士工作量。
목적：비교일차성인류대경환시간대담도T관인류환자발생감염적풍험，탐토보통급항반류일차성인류대대환자최위획익적경환시간。방법장144례행담도T관인류술차담즙세균배양결과음성적환자안수궤수자표법수궤분위3조，A조여B조사용일차성보통인류대，A조매천경환，B조매주경환，C조사용일차성항반류인류대，매주경환。추취인류대담즙주세균학감측，비교3조환자담도T관인류술후제5천여제10천세균배양양성례수、경환일차성인류대차수여상관비용。결과3조환자담도T관인류술후제5천여제10천세균배양양성례수비교차이균무통계학의의（χ2치분별위0．51，1．64；P＞0．05）。 A、B、C 3조환자경환인류대차수비교차이유통계학의의（F＝1379．17，P＜0．01）；3조경환인류대비용비교차이유통계학의의（F＝229．19，P＜0．01）。결론대우담즙세균배양음성적담도T관인류적환자，사용일차성보통인류대차매주경환대환자최위획익，기감염풍험교저，여항반류인류대상사，병가강저환자비용급호사공작량。
Objective To compare the replacement time of normal and anti-reflux disposable drainage bag for the risk of infection in patients with biliary T-tube drainage, and to explore the most suitable frequency which patients can get the most benefits.Methods Totals of 144 patients with routine T-tube drainage and the negative culture results of biliary bile were randomly divided into three groups by random number table method. Group A and group B used ordinary disposable drainage bag, while group A changed it every day and group B changed it once a week.Group C used the disposable anti-reflux drainage bag and replaced it once a week.The extraction of bile from drainage bag was used to do the bacteriological monitoring and the results were compared among the three groups.Results There was no significant difference in the bacterial culture among the three groups at the 5th day and 10th day after the drainage (χ2 =0.51, 1.64, respectively;P >0.05).The replacement frequency of the three groups were statistically significant (F=1 379.17,P<0.01).The cost of changing drainage bag in three groups had statistically significant difference ( F =229.19, P <0.01 ). Conclusions Patients with biliary T-tube, who use the ordinary disposable bags and change it weekly have similar infection rate as the anti-reflux drainage bag, what’ s more, it can reduce the costs of patients and the workload of nurses.