摘要
目的观察分析中心静脉导管胸腔闭式引流术接便携式手动引流瓶治疗自发性气胸患者的临床疗效。方法55例自发性气胸患者随机分为对照组25例和观察组30例,对照组采用胸腔闭式引流术接水封瓶加负压吸引治疗自发性气胸,观察组采用中心静脉导管胸腔闭式引流术接便携式手动引流瓶治疗自发性气胸,比较两组患者的临床疗效、引流时间、疼痛评分以及并发症情况。结果观察组临床总有效率(83. 3%)与对照组(80. 0%)比较差异无统计学意义(P> 0. 05);观察组引流时间与对照组比较差异无统计学意义(P> 0. 05);治疗后,观察组疼痛评分低于对照组,差异有统计学意义(P <0. 05);观察组复张性肺水肿发生率(10. 0%)低于对照组(32. 0%),差异有统计学意义(P <0. 05)。结论中心静脉导管胸腔闭式引流术接便携式手动引流瓶治疗自发性气胸能降低患者疼痛和复张性肺水肿发生率。
Objective To evaluate the clinical efficacy and safety of closed drainage by central venous catheter together with portable manual drainage bottle as a technology in the treatment of spontaneous pneumothorax. Methods 55 patients of spontaneous pneumothorax were firstly chosen as the subjects of study and divided into an experimental group（ n = 30） and a control（ n = 25）. The control group was treated with traditional closed thoracic drainage bottle along with a water seal negative pressure drainage. The experimental group was treated with thoracic closed central venous catheter drainage together with portable manual drainage bottle. The clinical efficacy,drainage duration,pain score and complications in both groups were analyzed and compared. Results The rate of clinical efficacy as observed in the experimental group was83. 3%,which was similar to that of the control group（ 80. 0%）（ P〈0. 05）. No significant difference was found between the two groups in drainage duration（ P〈0. 05）. After treatment,the pain score of the experimental group was significantly lower than that of the control group（ P〈0. 05）. The rate of incidence of re-expansion pulmonary edema in the experimental group was 10. 0%,which was significantly lower than that of the control group（ 32. 0%）. The difference wasstatistically significant（ P〈0. 05）. Conclusions Closed drainage by central venous catheter together with portable manual drainage bottle as a technology for the treatment of spontaneous pneumothorax can effectively reduce pain and the incidence of re-expansion pulmonary edema resulting from the process of treatment.
作者
陈汉才
葛建军
CHEN Han-cai; GE Jian-jun(Department of Respiratory Medicine, The First People＇ s Hospital of Linhai, Taizhou 317000, China)
出处
《健康研究》
CAS
2018年第5期538-540,共3页
Health Research
关键词
中心静脉导管
自发性气胸
便携式手动引流瓶
复张性肺水肿
central venous catheter
spontaneous pneumothorax
portable manual drainage bottle
recurrent pulmonary edema
