曲建平

探讨预见性护理在胸腔穿刺置管引流治疗胸腔积液中的价值

曲建平

目的 探讨胸腔积液使用胸腔穿刺置管引流治疗结合预见性护理的临床效果。方法 根据2011年5月～2015年4月我院的76例胸腔积液患者来进行研究分析，将其分成对照组和观察组，对照组32例使用常规护理，观察组44例接受预见性护理，对两组的引流时间、并发症情况等进行对比分析。结果 观察组引流时间比对照组短，结果存在统计学差异（P＜0.05）；观察组的引流量比对照组少，结果具有统计学差异（P＜0.05）；观察组并发症发生率比对照组低，结果存在统计学差异（P＜0.05）。结论 胸腔穿刺置管引流对胸腔积液患者的治疗效果比较好，结合预见性护理能够减少治疗时间，降低并发症发生率，促进患者的康复，具有较广阔的应用前景。

预见性护理；胸腔穿刺置管引流；胸腔积液

【Abstract】

Objective To explore the clinical effect of pleural effusion in the treatment of combined use of thoracic puncture and drainage in combination with predictive nursing. Methods According 76 cases of patients with pleural effusion in our hospital from May 2011 to April 2015 to research and analysis，and they were divided into the observation group and the control group， the control group （32 cases） used conventional nursing， the observation group（44 cases） accepted predictive nursing， the drainage time， postoperative complications of two groups were comparative analyzed. Results The drainage time of the observation group was shorter than that of the control group， the results showed significant difference （P＜0.05）； The drainage volume of the observation group was less than the control，the result was statistically difference （P＜0.05）；The chances of complications of the observation group was lower than that of the control group，the results showed significant difference（P＜0.05）. Conclusion Thoracic puncture set tube drainage in patients with pleural effusion treatment effect is quite good， with foresight nursing care can reduce the treatment time， reduce the risk of complications，promote the patient's rehabilitation has a broad application prospect.

【Key words】Predictive nursing， Pleural puncture and drainage， Pleural effusion

胸腔积液是呼吸系统疾病，以往反复穿刺治疗对患者造成了较大的痛苦，增加了感染几率，胸腔穿刺置管引流是目前使用比较多的一种新方法［1］。此次根据我院的76例患者来进行研究分析，对预见性护理效果进行分析，现报道如下。

1　资料与方法

1.1 一般资料

2011年5月～2015年4月我院选取了76例胸腔积液患者，分组为对照组和观察组，对照组有32例，男性患者17例，女性患者15例，年龄最小34岁，最大69岁，平均（44.2±8.27）岁；病因：癌性胸腔积液15例、结核性胸腔积液4例，心源性胸腔积液13例。观察组患者共44例，中男27例，女17例；年龄36～62岁，平均年龄（43.9±6.03）岁；病因：癌性胸腔积液23例、结核性胸腔积液3例，心源性胸腔积液18例。……