摘要
目的分析沙培林联合胸腔闭式引流治疗老年自发性气胸的临床效果。方法选择我院收治的62例老年自发性气胸患者,将其随机分为观察组32例、对照组30例,两组患者均给予胸腔闭式引流,对照组给予100 ml生理盐水+5 ml利多卡因胸腔注药;观察组给予2~5 KE沙培林+50 ml生理盐水+5 ml 2%利多卡因+地塞米松5 ml胸腔注药,比较两组患者治疗临床疗效、胸腔积气消失时间、平均住院时间、不良反应及随访复发情况。结果观察组患者治愈率显著高于对照组,差异具有统计学意义(P<0.05);观察组患者胸腔积气消失时间以及平均住院时间均显著低于对照组,差异具有统计学意义(P<0.05);观察组患者随访复发率显著低于对照组(P<0.05)。结论沙培林联合胸腔闭式引流治疗老年自发性气胸具有较高的临床治愈率,能够快速改善患者的临床症状并缩短住院时间,且治疗安全患者术后复发率较低,值得临床推广应用。
Objective To investigate the clinical curative effect of sapylin combined with closed thoracic drainage in the treatment of senile patients with spontaneous pneumothorax. Methods Sixty-two elderly patients with spontaneous pneumothorax were randomly divided into the observation （ n = 32）, and control group （ n = 30）. Patients of the two groups were treated with closed thoracic drainage. The control group was given 100 ml saline ＋ 5 ml lidocaine. , The observation group was given normal saline ＋ 50 ml 2 -5 KE sapylin 2% [idocaine ＋ 5 m[ intrapleural ＋ 5 ml dexamethasone. Clinical curative effect disappearing time of aerothorax, hospitalization time, adverse reactions and recurrence during follow-up were compared between the two groups. Results The cure rate of the observation group was significantly higher than that of the control group and the difference was statistically significant （ P 〈 0. 05 ）. The disappearance time of pleural effusion, pleural effusion disappearance time and average hospitalization time of the observation group were significantly lower than those of the control group and the difference was statistically significant（ P 〈 0.05 ）. The recurrence rate of the observation group was significantly lower than that of the control group （ P 〈 0. 05 ）. Conclusion Sapylin combined with thoracic closed drainage treatment of senile patients with spontaneous pneumothorax has high cure rate, can rapidly improve the clinical symptoms of patients and shorten the hospitalization time with good safety and low postoperative recurrence rate. It is worthy of clinical application.
出处
《白求恩医学杂志》
2017年第3期288-290,共3页
Journal of Bethune Medical Science
关键词
沙培林
胸腔闭式引流
自发性气胸
Sapylin
Closed thoracic drainage
Spontaneous pneumothorax
