Contemporary Nursing
Contemporary Nursing. 2020; 1: (2) ; 10.12208/j.cn.20200042 .
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云南省第一人民医院呼吸与危重症医学科 云南昆明
*通讯作者： 白志仙,单位：云南省第一人民医院呼吸与危重症医学科 云南昆明；
目的 分析对于结核性胸膜炎患者采用中心静脉导管胸腔内置入治疗措施的临床护理效果。方法 选取于2018.1月~2020.1月期间，因结核性胸膜炎接受临床治疗的患者，共计58例。按照不同的治疗方式将其分为对照组和观察组，每组患者各29例。对照组患者采用常规的胸腔穿刺方式抽胸水，观察组患者则是采用中心静脉导管置入胸腔进行胸水引流的方式，对比分析两组患者在治疗后的不良反应发生率，以及对护理工作的满意度。结果 采用中心静脉导管置入术的观察组患者，其不良反应的发生率为3.44%，而采用常规胸腔穿刺引流的对照组患者，其不良反应发生率为17.24%，观察组明显优于对照组。此外，对比两组患者对护理工作的满意度，观察组为96.55%、对照组为82.75%，观察组优于对照组，数据之间存在较大差异，（P＜0.05），统计学意义明显。结论 对于结合性胸膜炎患者的临床治疗，采用中心静脉导管胸腔内置入引流的方式，能够促进患者的疾病恢复，提高疾病治疗效率，同时还有助于实现护理满意度的提升。
Objective: To analyze the clinical nursing effect of tuberculous pleurisy patients with central venous catheter thoracic cavity treatment. Methods: A total of 58 patients who received clinical treatment for tuberculous pleurisy from January 2018 to January 2020 were selected. It was divided into a control group and an observation group according to different treatment methods, with 29 patients in each group. The patients in the control group used conventional thoracic puncture to draw pleural effusion, while the patients in the observation group used a central venous catheter to insert the pleural cavity for pleural effusion. A comparative analysis of the incidence of adverse reactions after treatment and satisfaction with nursing work degree. Results: The incidence of adverse reactions in the observation group with central venous catheter insertion was 3.44%, while the incidence of adverse reactions in the control group with conventional chest drainage was 17.24%. The observation group was significantly better than the control group. In addition, comparing the satisfaction of the two groups of patients with nursing work, the observation group was 96.55%, the control group was 82.75%, the observation group was superior to the control group, there was a large difference between the data, (P <0.05), statistically significant . Conclusion : For the clinical treatment of patients with combined pleurisy, the use of central venous catheter drainage into the chest cavity can promote the patient's disease recovery, improve the treatment efficiency of the disease, and also help to improve the satisfaction of nursing.
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