呼吸科和全科医生采用抽气法治疗自发性气胸的对比  

The contrast of the use of aspiration and outcomes of management by respiratory and general physicians in the treatment of spontaneous pneumothorax

作　　者：陈振华[1] 丘新才[1] 韦习勋[1] 

机构地区：[1]广东省佛山市南海区人民医院呼吸内科,528200

出　　处：《广州医药》2006年第3期28-30,共3页Guangzhou Medical Journal

摘　　要：背景自发性气胸是一种常见病,对它的初始治疗方法目前仍有争议,尤其是单纯抽气法。目的对比呼吸科和全科医生采用抽气法治疗自发性气胸的使用率及疗效的区别。方法回顾由我院呼吸科医生及全科医生处理的共85例患者的临床资料,其中36例由呼吸科医生处理,49例由全科医生处理。结果呼吸科医生明显倾向于使用单纯抽气(81%),显著高于全科医生(47%,P<0.01),并且成功率较高。呼吸科医生处理的患者最终需要闭式引流的比例也较低,而且住院天数(平均5.6天)较全科医生处理的(平均9.5天)明显减少(P<0.05)。结论由呼吸专科医生采用单纯抽气作为自发性气胸的初始治疗方法成功率更高,能缩短住院天数。Background Spontaneous pneumothorax is a common problem in hospital practice. Despite the publication of guidelines controversy over its initial management still exists, particularly over the use of simple aspiration. Objective To contrast the use of aspiration and outcomes of management by respiratory and general physicians in the treatment of spontaneous pneumothorax. Methods The management of spontaneous pneumothorax by respiratory and general physicians at our hospital was analysed by retrospective case note review. Eighty five patients were identified over the study period （36 managed by respiratory and 49 by general physicians）. Results There was a significantly greater use of simple aspiration by respiratory （81%） than general physicians （47% , P 〈 0.01） and a higher rate of success in this group. As a result those patients managed by respiratory physicians had fewer intercostal drains inserted and significantly shorter length of stays （mean 5.6 days respiratory group and 9.5 days in general physicians group, P 〈 0.05）. Conclusion The greater and more successful use of simple aspiration by respiratory physicians as an initial treatment for spontaneous pneumothorax resulted in improved outcomes and reduced length of hospital stays.

关 键 词：自发性气胸 抽气法 专科处理 

分 类 号：R561[医药卫生—呼吸系统]