摘要目的 探讨使用双蝶翼高举平台法为患者固定腹腔引流管的固定效果.方法 对在南京市鼓楼医院妇科进行妇科手术治疗且留置腹腔引流管的245例患者的临床资料进行分析,以2016年10月31日为时间分界点分为对照组119例和观察组126例,对照组患者采用常规方法进行腹腔引流管固定,观察组患者采用双蝶翼高举平台法进行腹腔引流管固定,并对比分析2组患者的腹腔引流管的引流效果、固定效果及引流管导致的牵拉痛.结果 观察组和对照组总留置时间差异无统计学意义,观察组疼痛评分、需复贴时间分别为(2.00±1.36)分、(3.00±0.62)d,对照组分别为(5.00±1.89)分、(0.35±0.05)d,2组比较差异有统计学意义(t=7.883、3.457,P<0.01),观察组无脱管100.0％(126/126),对照组无脱管89.9％(107/119),部分脱管7.6％(9/119),完全脱管2.5％(3/119),2组比较差异有统计学意义(Z=-15.305,P<0.01).结论 与常规腹腔引流管固定法相比,双蝶翼高举平台法固定腹腔引流管固定的效果更优,可显著减轻患者承受的疼痛,节约了护理时间.

abstractsObjective To explore the use double butterfly wings raised platform method for patients with fixed effects of abdominal cavity drainage tube. Methods For the treatment of gynecological surgery in the hospital and abdominal cavity drainage tube of the clinical data of 245 patients were analyzed, and on October 31, 2016 as the cut-off time was divided into the control group of 119 cases and observation group of 126 cases in control group were treated by conventional methods for abdominal cavity drainage tube, observation group of patients with double butterfly wings raised platform in the abdominal cavity drainage tube was fixed, and comparative analysis of two groups patients with abdominal cavity drainage tube drainage effect, pull the pain caused by fixed effects, and the drainage tube. Results The observation group and the control group there was no statistically significant difference total indwelling time, pain score, to observe group posted time (2.00±1.36), respectively (3.00± 0.62), the control group, respectively (5.00 ± 1.89), (0.35 ± 0.05) points, two groups compare the difference was statistically significant (t=7.883,3.457, P<0.01), the observation group without pipe of 100.0％(126/126), the control group without pipe of 89.9％(107/119), part of the pipe of 7.6％(9/119), completely pipe of 2.5％ (3/119), two groups compare the difference was statistically significant (Z=-15.305, P<0.01). Conclusion Compared with the conventional abdominal cavity drainage tube fixed method, double butterfly wings raised platform method fixed abdominal cavity drainage tube fixed effect is better, can significantly ease the pain of patients suffer, saved the time nursing.