Nursing experience of Central Venous Catheter used for ascites drainage in patients with cirrhosis
中心静脉导管用于肝硬化腹水患者引流腹水的护理体会

摘要

目的 总结中心静脉导管用于肝硬化腹水患者引流腹水的护理措施与体会。方法 本文研究时段为2018年1月至2020年7月，研究对象则为该段时间收入我院肝病科室的45例肝硬化腹水患者，结合其入院顺序分为两组，纳入对比组的22例双号患者接受常规护理模式，纳入研究组的23例单号患者实施全面护理，比较两种不同护理模式的临床应用效果。结果 就置管时间、感染发生率相比，研究组优势更显著，指标对比差异显示出统计学价值（P<0.05）；就护理满意度而言，对比组相对较低，指标对比差异显示出统计学价值（P<0.05）。结论 针对肝硬化腹水患者，为其行中心静脉导管引流十分必要，并配合全面护理措施，可最大程度保障治疗顺利开展及其安全，亦将患者护理满意度提升了一个台阶，对医患关系的良好促进可产生积极效应，应用价值良好，值得大力推广。

Abstract

Objective To sum up the nursing measures and experience of Central venous catheter used for drainage of ascites in patients with liver cirrhosis.
Methods sixty-five patients with ascites due to cirrhosis who were admitted to hepatobiliary surgery in our hospital from September 2019 to July 2020 were divided into two groups according to their admission sequence, 32 patients in the Control Group received routine nursing and 33 patients in the Study Group received General Nursing. The clinical effects of two different nursing modes were compared.
Results compared with the time of Catheterization and the incidence of infection, the study group had more advantages, and the difference of the indexes showed statistical value (P≪ 0.05), the difference of indexes showed statistical value (P≪ 0.05).
Conclusion   for patients with ascites due to liver cirrhosis, it is necessary to perform Central venous catheter drainage, and cooperate with comprehensive nursing measures, which can ensure the smooth development of treatment and its safety to the greatest extent, and also improve the patient's satisfaction with nursing, the good promotion of doctor-patient relationship can produce positive effect, has good application value, and is worth promoting vigorously.