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目的探讨单件式尿路造口袋应用于经皮经肝胆道引流术(PTCD)后引流液外渗患者的效果。方法将82例PTCD后出现引流液外渗患者,按引流方法的不同分为2组:对照组(n=40)为传统引流法;研究组(n=42)采用单件式尿路造口袋与引流管配合使用。结果研究组引流管口周围皮炎发生率、管口敷料污染率、衣物污染率、每日换药费用明显低于对照组(P<0.05)。结论单件式尿路造口袋用于PTCD后引流液外渗患者,可降低引流管口周围皮炎发生率、管口敷料污染率、衣物污染率及每日换药费用,同时可提高患者舒适度,减轻医护人员的工作量。
Objective To investigate the effect of one-piece urinary tract ostomy bag on percutaneous transhepatic biliary drainage (PTCD) after drainage of fluid extravasation. Methods Eighty-two PTCD patients with fluid leakage after PTCD were divided into two groups according to different drainage methods: the control group (n = 40) was the traditional drainage method; the study group (n = 42) Used with drainage tube. Results The incidence of dermatitis around dermatome, the contamination rate of dressing, the rate of clothing contamination and the daily dressing cost in study group were significantly lower than those in control group (P <0.05). Conclusions The one-piece urinary stoma bag for post-PTCD fluid drainage patients can reduce the incidence of dermatitis around the drainage orifice, the contamination rate of the dressing, the rate of clothing contamination and the daily dressing change, and improve patient comfort , Reduce the workload of medical staff.