摘要目的 探讨S 型旋转挂钩在急诊创伤术后各种引流管固定中的应用效果。方法 采用双盲法选择2019年4月至2021年1月赣南医学院第一附属医院急诊科收治的60 例急诊创伤手术患者为研究对象，依据随机数字表法分为对照组（n=30）和观察组（n=30）。对照组采用常规固定方式，观察组采用S 型旋转挂钩，比较两组的管道脱管率、引流通畅情况、患者留置期间舒适度、生活质量。结果 观察组的管道脱管、引流障碍、逆行感染及肺部感染发生率均低于对照组，引流管通畅率高于对照组，差异有统计学意义（P＜0.05）；观察组留置期间的舒适度优于对照组，差异有统计学意义（P＜0.05）；两组干预7 d 后的生活质量评分高于干预前，差异有统计学意义（P＜0.05）；观察组干预7 d 后的生理职能、身体疼痛、生理功能、精神健康与情感智能评分高于对照组，差异有统计学意义（P＜0.05）。结论 S 型旋转挂钩用于急诊创伤术后各引流管的固定中能降低管道脱管率，提高引流管通畅，提升患者留置期间舒适度，可以获得较高的生活质量，值得推广应用。
Abstract：Objective To investigate the application effect of S-shaped rotating hook in the fixation of various drainage tubes after emergency trauma surgery. Methods A total of 60 patients with emergency trauma surgery treated in the Department of Emergency of the First Affiliated Hospital of Gannan Medical University from April 2019 to January 2021 were selected by double-blind method.They were randomly divided into the control group(n=30)and the observation group(n=30). The control group was given conventional fixation method, and the observation group was treated with S-shaped rotating hooks. The rate of tube detachment, status of smooth drainage, comfort during indwelling, and quality of life were compared between the two groups. Results The incidence rates of tube detachment, drainage disorder, retrograde infection,and lung infection in the observation group were lower than those in the control group,the patency rate of drainage tube in the observation group was higher than that in the control group, with statistically significant difference (P＜0.05).The comfort during indwelling in the observation group was better than that in the control group, with statistically significant difference (P＜0.05).The quality of life scores of the two groups after 7 days of intervention were higher than those before intervention,with statistically significant differences(P＜0.05).The scores of physiological role,physical pain,physiological function, mental health, and emotional intelligence in the observation group after 7 days of intervention were higher than those in the control group, with statistically significant differences (P＜0.05). Conclusion The application of S-shaped rotating hook in the fixation of drainage tubes after emergency trauma surgery can reduce the rate of tube detachment, improve the patency of drainage tube, improve the comfort of patients during indwelling, and achieve a higher quality of life. It is worthy of promotion and application.
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