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目的对比分析双固定对腹部引流管的影响,探讨其必要性。方法将150例腹部手术后放置腹腔引流管病人随机分成双固定组(n=70)和非双固定组(n=80),分别观察引流管留置时间,拔除前是否脱落及其原因、腔外管道是否堵塞、局部皮肤不良反应,盲法调查患者、医生对双固定的接受性及原因。结果两组病人在性别、手术类别、置管时间、术后2周引流管脱落发生率上差异无统计学意义(P>0.05);在腹腔外堵管、局部皮肤不良反应及医生和患者接受性上,差异有统计学意义(P<0.05)。结论双固定无法对引流管的牢靠固定起到理想的作用,反而会诱发患者皮肤不良反应、影响管道通畅性,无法得到患者、医生的接受,不建议常规使用。
Objective To compare and analyze the effect of double fixation on the abdominal drainage tube and to explore its necessity. Methods 150 patients with abdominal drainage tube after abdominal surgery were randomly divided into two groups (n = 70) and non-double fixation group (n = 80). The drainage tube indwelling time, Whether the pipeline is clogged, local skin adverse reactions, blind investigation of patients, doctors fixed on the double acceptance and reasons. Results There was no significant difference in sex, type of surgery, catheterization time and the incidence of drainage tube ablation 2 weeks after operation between the two groups (P> 0.05). In extraperitoneal blocking, topical skin adverse reactions and physician and patient acceptance Sexually, the difference was statistically significant (P <0.05). Conclusion Double fixation can not secure the drainage tube firmly fixed, but will induce adverse reactions of skin patients, affecting the patency of the pipeline, can not get the patient, the doctor’s acceptance, not recommended for routine use.