摘要
目的探讨电视胸腔镜与传统开胸手术治疗创伤性血胸的效果与安全性。方法选取2021年3月—2023年8月武警山西总队医院确诊为创伤性血胸的82例患者,依据入院时间顺序分为2组,各41例。对照组行传统开胸手术处理,观察组行电视胸腔镜手术治疗。比较2组手术处理效果及安全性。结果观察组手术时间、术后胸腔引流时间、术后镇痛用药时间以及住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);术后24 h,观察组皮质醇(cortisol,Cor)、神经肽Y(neuropeptideY,NPY)以及P物质(substance P,SP)的检测值均低于对照组,差异有统计学意义(P<0.05);观察组患者术后12 h以及术后第1、2、3天的疼痛程度评分均低于对照组,差异有统计学意义(P<0.05);观察组术后并发症总发生率为7.32%,低于对照组的24.39%,差异有统计学意义(P<0.05)。结论电视胸腔镜手术用于创伤性血胸的治疗效果确切,并可减轻创伤应激反应及术后疼痛程度,减少并发症发生,效果优于传统开胸手术。
Objective To explore the efficacy and safety of video-assisted thoracoscopy and traditional thoracotomy in the treatment of traumatic hemothorax.Methods A total of 82 patients diagnosed with traumatic hemothorax in Shanxi Armed Police Force Hospital from March 2021 to August 2023 were selected and divided into two groups based on the chronological order of admission,with 41 patients in each group.The control group received traditional thoracotomy treatment,while the observation group received video-assisted thoracoscopic surgery.The effect and safety of operation were compared between the two groups.Results The operation time,postoperative thoracic drainage time,postoperative analgesic medication time and hospitalization time of the observation group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the difference was statistically significant(P<0.05).24 h after operation,the detected values of cortisol(Cor),neuropeptide Y(NPY)and substance P(SP)in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).The pain degree scores of the observation group at 12 h and the 1st,nd rd 2 and 3 days after surgery were lower than those of the control group,the difference was statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was 7.32%,lower than that in the control group(24.39%),the difference was statistically significant(P<0.05).Conclusion Video-assisted thoracoscopic surgery has a definite therapeutic effect on traumatic hemothorax,can reduce traumatic stress response and postoperative pain,reduce complications,the effect is better than that of traditional thoracotomy.
作者
赵巍
ZHAO Wei(Department of Surgery,Shanxi Armed Police Force Hospital,Taiyuan Shanxi 030006,China)
出处
《中国卫生标准管理》
2024年第12期117-120,共4页
China Health Standard Management
关键词
创伤性血胸
电视胸腔镜
传统开胸手术
创伤应激指标
术后疼痛程度
安全性
traumatic hemothorax
video-assisted thoracoscopy
traditional thoracotomy surgery
trauma stress indicators
postoperative pain level
security
