Contemporary Nursing
Contemporary Nursing. 2026; 7: (7) ; 10.12208/j.cn.20260350 .
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中山大学附属第三医院肇庆医院 广东肇庆
*通讯作者： 李金凤,单位：中山大学附属第三医院肇庆医院 广东肇庆; ；
目的 本研究旨在通过剖析不同阶段总胆红素水平与引流液颜色的差异，探寻一种能够快速且精准地在床旁测量引流液中胆红素水平的物理方法，并将其应用于临床实践，评估该方法的准确性与敏感性。方法 选取2025年1月至2025年12月期间，80例肝脏部分切除术后留置腹腔引流管的患者作为研究对象。依据肝脏部分切除手术治疗的先后顺序，将患者分为两组，每组各40例。观察组借助胆漏比色卡判定腹腔引流液的胆漏程度以及对应的胆红素范围；对照组则将腹腔引流液送至检验室进行黄疸常规检测，以测定引流液中的总胆红素值。通过对比，评估基于比色法的胆漏早期预警工具比色卡的准确性，进而评价其临床应用价值。结果 基于比色法的胆漏早期预警工具比色卡具有较高的符合率、特异度和灵敏度，具备较高的临床应用价值。结论 基于比色法的胆漏早期预警工具比色卡操作简便，能够提升医护人员的工作效率，减轻患者的经济负担。
Objective This study aims to analyze the differences in total bilirubin levels and the color of drainage fluid at different stages, explore a physical method that can quickly and accurately measure the bilirubin level in the drainage fluid at the bedside, and apply it to clinical practice to evaluate the accuracy and sensitivity of this method. Methods From January 2025 to December 2025, 80 patients who underwent partial liver resection and had abdominal drainage tubes in place were selected as the research subjects. According to the sequence of liver resection surgery, the patients were divided into two groups, with 40 cases in each group. The observation group used the bile leakage colorimetric card to determine the degree of bile leakage in the abdominal drainage fluid and the corresponding bilirubin range; the control group sent the abdominal drainage fluid to the laboratory for routine jaundice testing to determine the total bilirubin value in the drainage fluid. Through comparison, the accuracy of the colorimetric card of the early warning tool for bile leakage based on colorimetry was evaluated, and its clinical application value was assessed. Results The colorimetric card of the early warning tool for bile leakage based on colorimetry has a high coincidence rate, specificity, and sensitivity, and has a high clinical application value. Conclusion The colorimetric card of the early warning tool for bile leakage based on colorimetry is simple to operate, can improve the efficiency of medical staff, and reduce the economic burden on patients.
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