造口袋应用于腹腔穿刺术后积液渗漏的效果观察

摘要

目的：探讨造口袋应用在大量腹腔积液患者腹腔穿刺后持续积液渗漏的临床效果。方法对46例重度腹腔积液的患者随机分为观察组和对照组各23例，观察组腹腔穿刺术后在穿刺点局部采用造口袋引流法，对照组采用传统的多层纱布加腹带包扎法，对两组穿刺局部皮肤损伤的发生率，皮肤损伤发生时间，损伤程度及患者的舒适程度进行比较。结果观察组腹腔穿刺处皮肤损伤的发生率、发生时间及损伤程度均低于对照组(P <0.05)，且患者的舒适程度提高(P <0.05)。结论造口袋应用在大量腹腔积液患者腹腔穿刺后能减少穿刺局部皮肤的损伤，提高患者的舒适度。%Objective To study the clinical effect of ostomy bag for preventing continuous ascites leakage after abdominocentesis in the patients with massive seroperitoneum.Methods 46 patients with severe ascites were ran-domly divided into the observation group and the control group,23 cases in each group.The observation group adopt-ed the ostomy bag drainage at the puncture point after abdominocentesis,while the control group adopted the conven-tional multilayer gauze and abdominal belt bandage.The occurrence rate of local skin injury at the puncture site,oc-currence time of skin injury,injury degree and patient′s comfortable degree were compared between the two group. Results The occurrence rate of dermal injury,occurrence time and injury degree in the observation group were obvi-ously lower than those in the control group(P <0.05),moreover the patient′s comfortable degree was increased(P <0.05).Conclusion Using ostomy bag after abdominocentesis can effectively decrease the local dermal injury at the puncture site and increases the patient′s comfortable degree in the patients with massive seroperitoneum.