摘要
目的探讨心包穿刺置入中心静脉导管(central venous catheter,CVC)引流应用于结核性心包炎(tuberculosis percarditis,TBP)积液的护理效果。方法选取2014年3月至2017年9月我院住院部收治的确诊为结核性心包炎并出现心包填塞症的患者124例为研究对象,随机将其等分为对照组和观察组,对照组给予常规心包穿刺术,观察组在此基础上给予心包穿刺置入中心静脉导管引流积液,两组患者同时进行全身抗结核治疗,整个治疗过程中护理人员均给予个体化全程细节护理。比较两组患者的穿刺成功率、不良反应、护理满意度。结果观察组患者穿刺成功率高于对照组,住院时间短于对照组,不良反应发生率低于对照组,差异均有统计学意义(P <0. 05);观察组护理满意度明显高于对照组,差异有统计学意义(P <0. 05)。结论常规治疗联合留置中心静脉导管引流结核性心包炎积液可提高穿刺成功率,缩短住院时间,降低不良反应发生率,提高患者护理满意度,可有效治疗结核性心包炎,操作简便且安全性较高,值得临床推广应用。
Objective To investigate the nursing effect of patients with tuberculous pericarditis （TBP） effusion using pericardial puncture indwelled in central venous catheter drainage. Methods To compare puncture success rate, adverse reactions, and nursing satisfaction, 124 cases of patients diagnosed with tuberculous pericarditis and pericardial tamponade admitted to the inpatient department of our hospital from March 2014 to September 2017 were observed, and were randomly divided into control group and study group with equal members. The control group received conventional pericardial puncture, while the study group received pericardial puncture indwelled in central venous catheter drainage on the basis of the control group. Both groups of patients underwent systemic anti - tuberculosis treatment, and received individualized and detailed care throughout the treatment from the nursing staff. Results The success rate of puncture in the study group was higher than that in the control group, and tbe length of hospitalization was shorter than the control group. The incidence of adverse reaction in the study group was lower than that in the control group. The dift^renee was statistically significant （ P 〈 0.05）. The nursing satisfaction of the study group was obviously higher than that of the control group, and the difference was statistically significant （ P 〈 0.05 ）. Conclusion Conventional treatment combined with indwelling central venous catheter drainage of TBP effusion could improve the success rate of puncture, shortened hospitalization time, reduced the incidence of adverse reactions, promoted the nursing satisfaction of patients, and effectively treated tuberculous peri- carditis, which it＇ s available with relatively high safety guarantee. It was worthy of clinical promotion and application.
作者
邓秋燕
陈睿
陈位坤
DENG Qiu-yan;CHEN Rui;CHEN Wei-kun
出处
《护理实践与研究》
2018年第23期37-39,共3页
Nursing Practice and Research
关键词
中心静脉导管
结核性胸膜炎
胸腔积液
护理
Central venous catheter
Tuberculous pleurisy
Pleural effusion
Nursing
