改良尿造瘘袋在经皮肾镜取石后肾造瘘管入口渗液收集中的应用

L. Lan, Guo Xiaoxia
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引用次数: 0

摘要

目的:探讨改良造瘘袋对经皮肾镜取石后肾造瘘管入口渗液的收集效果。方法:选择106例经皮肾镜取石并留置肾造瘘管的患者,其肾造瘘管入口渗漏异常增加。采用随机数字表法将患者平均分为观察组(53例)和对照组(53例)。观察组采用改良的造瘘袋收集肾造瘘管入口渗液,对照组采用常规手术后更换敷料处理渗液。比较两组患者造口周围皮炎的发生情况、造口不适、造口护理费用、医务人员对渗液收集的满意度、换造口敷料次数、材料支出等情况。结果:观察组患者造口周围皮炎发生率、造口不适及造口护理费用均低于对照组,差异有统计学意义(P=0.000)。观察组医务人员对渗液收集的满意度高于对照组,差异有统计学意义(P=0.000)。观察组患者护理口用敷料的次数也低于对照组,差异有统计学意义(P=0.000)。结论:改良的造瘘袋用于PCNL术后造瘘口渗液收集,既能保证泌尿系统的防漏性和肾造瘘管的功能,又能减少造瘘口感染的发生,提高患者的舒适度和渗液测量的准确性,减轻医护人员的工作量。改进后的造口袋减少了患者更换敷料的费用和科室的材料费用,值得在其他引流管的渗漏收集中应用。
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Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy
Objective: We attempt to explore the effect of improved urostomy pouch on collecting the seepage from the entry of the nephrostomy tube after percutaneous nephrolithotomy. Methods: We selected 106 patients who underwent percutaneous nephrolithotomy and had indwelling nephrostomy tube with abnormal increase in seepage from the nephrostomy tube entry. Random number table was used to averagely divide them into observation group (53) and control group (53). For the observation group, we used improved urostomy pouches to collect seepage from the nephrostomy tube entry while for the control group, we dealt with the seepage through changing dressings following surgical routine. After that, we compared occurrence of dermatitis around the stoma, discomfort of stoma, stoma care cost, medical staff’s satisfaction with collection of seepage, frequency of changing dressings for stoma and material expenditure, etc. between the two groups. Results: occurrence of dermatitis around the stoma, discomfort of stoma and stoma care cost in observation group were lower than those in control group with a significant difference (P=0.000). Besides, medical staff’s satisfaction with collection of seepage in observation group was higher than that in control group with a significant difference (P=0.000). Frequency of caring for the stoma expenditure of dressings in the observation group were lower than those in the control group also with a significant difference (P=0.000). Conclusions: Improved urostomy pouches in collection of seepage from the stoma after PCNL can not only ensure the leakproofness of the urinary system and the function of nephrostomy tube but also reduce the occurrence of stoma infection to improve comfort of patients and accuracy of measurement of seepage, and reduce workload of medical staff. What’s more, the improved urostomy pouches help reduce the cost of changing dressings for patients and cost of materials of the department, and thus is worth application in collection of seepage from other drainage tubes.
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