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Chinese Journal of Interventional Radiology(Electronic Edition) ›› 2021, Vol. 09 ›› Issue (04): 452-455. doi: 10.3877/cma.j.issn.2095-5782.2021.04.019

• Interventional Nursing • Previous Articles     Next Articles

A randomized controlled study of three extrusion methods on the drainage effect of PTCD tube

Xiaojing Zheng1, Xiaoling Hao1, Xiumei Chen1,(), Jie Qiu1   

  1. 1. Department of Interventional Radiology, Guangdong Academy of Medical Sciences, Guangdong Provincial People’s Hospital, Guangdong Guangzhou 510080, China
  • Received:2021-06-11 Online:2021-11-25 Published:2022-01-05
  • Contact: Xiumei Chen
  • About author:
    Co-first authors: Zheng Xiaojing, Hao Xiaoling

Abstract:

Objective

To explore the squeeze method of PTCD tube to maintain smooth drainage of the tube and promote postoperative recovery.

Methods

A total of 120 patients with PTCD tube placed after cholangiography were selected, and the patients were divided into three groups A, B, and C according to the randomized controlled single-blind principle, with 40 cases in each group. Group A adopts the rapid squeeze method; Group B adopts the winding finger method; Group C adopts the progressive V-shape method.

Results

The pain rate and bleeding rate of the three squeezing methods were compared, and the differences were statistically significant (P < 0.05). Among them, the pain rate and bleeding rate of the finger-wound method were the highest; the comparison of the single squeeze times of the three methods showed that the difference was significant. Statistical significance (F = 36.069, P < 0.001); comparison of the patency rates of the three methods before and after extrusion, the difference in patency rates of group C before and after extrusion was statistically significant (χ2 = 6.725, P < 0.05), suggesting the progressive V method The squeeze has the best effect.

Conclusions

The progressive V-shaped method has a moderate number of single squeezing, the drainage tube has the best patency effect, and there are fewer pain and bleeding complications after squeezing. It does not affect the comfort of the patient and does not increase the burden on the operator. It is more suitable for PTCD tube squeezing. The preferred method of compression.

Key words: PTCD tube, Extrusion method, Drainage effect

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