中国血液净化

中国血液净化 ›› 2013, Vol. 12 ›› Issue (11): 635-637.doi: 10.3969/j.issn.1671-4091.2013.11.00

• 护理园地 • 上一篇    下一篇

非手术法腹透管复位护理技巧在腹膜透析患者腹透管移位中的应用

张春燕1,黄晓敏1,徐天2,谢静远3,任红3   

  1. 1. 上海瑞金医院
    2. 上海市交大医学院附属瑞金医院
    3. 上海交通大学医学院附属瑞金医院
  • 收稿日期:2013-05-31 修回日期:2013-08-07 出版日期:2013-11-12 发布日期:2013-11-12
  • 通讯作者: 张春燕 E-mail:rivermere@hotmail.com

Application of Nursing Skills in the Non-Operative Treatment of Peritoneal Dialysis Catheter Migration

  • Received:2013-05-31 Revised:2013-08-07 Online:2013-11-12 Published:2013-11-12

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摘要： 目的：总结上海瑞金医院腹透管移位的发生情况及非手术复位的护理经验。方法：分析上海瑞金医院腹膜透析患者2007-2011年5年内导管移位发生原因，并根据腹腔段导管形状分成直管组与卷曲管组。比较腹透植管术后直管组和卷曲管组非手术法导管复位成功率。结果：1、5年内发生导管移位患者48例，占总人数的14.96%。2、直管组导管移位发生率为12.64%，卷曲管组发生率为29.55%，有统计学差异。3、分析导管移位原因便秘占首位。4、发生导管移位后采取非手术方法复位成功率为75%，其中直管组非手术复位成功率为97.1%，卷曲管组为15.4%，直管组的非手术复位成功率要显著高于卷曲管组（P<0．05）。结论：发生导管移位后可先使用非手术方法复位。

关键词: 腹膜透析, 导管移位

Abstract: Objective: To summarize the incidence of peritoneal dialysis catheter migration and nursing experience of non-operative catheter replacement. Methods: We calculated the success rate of non-operative replacement, analyzed related risk factors of catheter displacement, discussed the importance of nursing instruction in catheter reset. Results: Catheter shift occurred in 48 (14.96%) patients during follow-up. Constipation was the main reason causes catheter displacement. The success rate of reposition by non-operative nursing methods was higher in straight group than that in curly group (97.1% vs 15.4%, p<0.05). Conclusions: Curled catheter had a higher catheter tip migration rate and was less likely to be repositioned by non-operative methods than straight catheter. The nursing experience played an important role during the catheter reposition.

Key words: Peritoneal dialysis, Catheter displacement