朱美玲++++++胡红

[摘要] 目的 研究消毒液的润滑作用在更换引流袋中的应用。 方法 将本科2013年3～6月320例次需更换引流袋的患者分常规组和观察组，每组各160例，比较两组更换引流袋所需时间、所费手套数量、操作者手指的疼痛程度、患者舒适程度、逆行感染率。 结果 两组患者引流部位感染率差异无统计学意义（P>0.05）。观察组更换引流袋所需时间和所耗费手套数量明显少于常规组，观察组操作者手指无明显疼痛不适，患者被扯痛的风险下降。 结论 通过消毒方法的改进，提高了工作效率，节省了材料，减轻了护士和患者的痛苦。

[关键词] 消毒液；润滑；更换；引流袋

[中图分类号] R472.1[文献标识码] B[文章编号] 1674-4721（2014）06（b）-0162-02

Application of disinfectant′s lubrication action on changing drainage bag

ZHU Mei-ling HU Hong

The First School of Clinical Medicine Affiliated to China Three Gorges University;Yichang Central People′s Hospital of Hubei Province,Yichang 443003,China

[Abstract] Objective To study the application of disinfectant′s lubrication action on changing drainage bag. Methods Patients changed drainage bags for 320 times in our department from March to June in 2013 were evenly divided into regular group and observation group.The time in changing drainage bag,amount of worn-out gloves,pain degree of operator′s fingers,patient′s comfortable degree,and retrograde infection rate were compared in both groups. Results There was no statistical difference in infection rate around the location of drainage in both groups.Time spent and amount of worn-out gloves in the observation group were much less than those in the regular group.No obvious discomfort occurred in operator′s fingers in the observation group.The risks of pulling pain in patients in the observation group decreased more remarkably in comparison with those in the regular group. Conclusion The improved method of disinfection enhances work efficiency,saves material,and reduces sufferings from both nurse and patient.

[Key words] Disinfectant;Lubrication;Change;Drainage bag

外科术后通常要放置各种引流管，多数是用弹性好的医用乳胶管，下端连接一次性塑料引流袋。为了防止术后逆行感染，要根据引流的性质定期更换引流袋。引流袋连接口一端为硬塑，外套的乳胶管为高弹性，衔接非常紧密。尽管有很多专家对引流袋更换时间进行了一些研究，认为腹腔引流袋更换频繁可增加细菌污染的机会，所以以每周更换一次为宜[1]，可大大减轻护士的工作量，但是普外科病种多，重患者多，每个手术后患者至少留置1～7根引流管，根据手术时间的不同，每周会有2 d共花费4～5 h更换引流袋，因导管难以分离使得大拇指起泡、起茧，频繁捻破手套，甚至扯动引流管导致患者疼痛或脱管。本科对于接头难以分离导致费时、费力状况，在消毒方法及连接方法上进行了改进，取得较好的效果。