Control study on lifted tube drainage versus continuous negative pressure drainage after lower lumbar surgery
10.3760/cma.j.issn.1674-2907.2015.13.033
- VernacularTitle:下腰椎术后引流管中段抬高引流方式与持续负压引流的效果比较
- Author:
Qingying HAO
1
;
Haoning MA
;
Chanjuan FU
;
Xiaohua ZHANG
;
Mingsheng TAN
Author Information
1. 中日友好医院脊柱外科
- Keywords:
Lower lumbar surgery;
Drainage;
Post-operative blood loss
- From:
Chinese Journal of Modern Nursing
2015;21(13):1589-1593
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the drainage volume and nursing method of lifted tube drainage and continuous negative pressure drainage after lower lumbar surgery.Methods A total of 248 consecutive patients undergoing the first or second lumbar spine surgery from January 2008 to July 2013 were prospectively randomly divided into two groups.116 patients in the experimental group (group A) took the lifted tube drainage and 132 patients in the control group (group B) took the normal continuous negative pressure drainage protocol after surgery.The total drainage volume,pre-and post-operative hemoglobin,post-operative temperature,complications and JOA score in the two groups were compared.Results The average drainage volume after single or two segment surgery were (97.0 ± 34.2)ml and (108.5 ± 32.7)ml in group A.The average drainage volume after single or two segment lower lumbar surgery were (393.4 ± 143.5) ml and (448.2 ± 169.6) ml in group B,the difference was statistically significant (t =14.43,17.55,respectively;P ＜ 0.01).There was no significant difference in drainage volume in single or two segment in group A and B (P ＞ 0.05).The post-operative hemoglobin level was (121.7 ± 13.4) and (117.8 ± 12.5) g/L in group A and B respectively,the difference was statistically significant (t =2.38,P ＜ 0.05).Conclusions Based on the findings in this study,lifting the drainage tube to an appropriate height is a simple and safe way to reduce postoperative drainage volume in lower lumbar spine surgery which is worthy of further investigations.
