中心静脉导管胸腔闭式持续引流与常规胸腔穿刺治疗胸腔积液80例疗效分析  

The Effect Comparison of Pleural Effusion in 80 Cases with Central Venous Catheter Drainage of Closed Thoracic Continuous Treatment and Conventional Thoracentesis

作　　者：谭远光 杨武军 向少伟 谭德彩 

机构地区：[1]湖北省恩施州中心医院心胸神经外科,恩施445000

出　　处：《中国医药导刊》2011年第11期1859-1860,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨中心静脉导管胸腔闭式持续引流与常规胸腔穿刺治疗胸腔积液的临床效果。方法:将我院收治的80例胸腔积液患者,随机分为对照组和观察组,对照组采用常规胸腔穿刺治疗,观察组采用中心静脉导管胸腔闭式持续引流治疗,比较两组治疗效果及不良反应发生情况。结果:对照组主观症状明显缓解率95%观察组主观症状明显缓解率97.5%。两组主观症状明显缓解率经统计学分析,差异无统计学意义(P>0.05)。对照组充分引流率92.5%,观察组充分引流率95%。两组充分引流率经统计学分析,差异无统计学意义(P>0.05)。对照组治愈6例,有效19例,无效15例,总有效率62.5%。观察组治愈15例,有效20例,无效5例,总有效率87.5%。两组总有效率差异经统计学分析,差异有统计学意义(P<0.05)。两组不良反应发生率经统计学分析,差异有统计学意义(P<0.05)。结论:本组采用中心静脉导管胸腔闭式持续引流治疗胸腔积液,总有效率显著高于与常规胸腔穿刺治疗胸腔积液(P<0.05),且不良反应少,操作方便,值得临床推广应用。Objective：To investigate the center thoracic continuous catheter drainage treatment with conventional thoracentesis pleural effusion clinical effects.Methods：80 cases of pleural effusion who were treated in our department were randomly divided into control group and observation group.The control group were treated with routine thoracentesis.while the observation group were treated with continuous central venous catheter closed thoracic drainage treatment.The treatment effect and adverse reaction were compared in these two group.Results：In the control group 95%of the patients＇ subjective symptoms were relieved while in the observation group the rate was 97.5%.The rate of subjective symptoms in two group were compared by the statistical analysis,and no statistically significant difference（P0.05） were found.The rate of adequate drainage was 92.5%in control group,and 95%in the observation group.The statistical analysis for adequate drainage rate of the two groups found it no statistically significant difference（P0.05）.6 cases were cured in the control group,effective in 19 cases,ineffective in 15 cases,and the total effective rate was 62.5%.15 cases were cured in observation group,effecrive in 20 cases,ineffective in 5 cases,and the total rate was 87.5%.Total effective rate was compared by statistical analysis,the statistically significant difference（P0.05） was found.Statistical analysis for the incidence of adverse reactions found statistically significant（P0.05） difference between the two group.Conclusion：The treatment effective of pleural effusion with continuous central venous catheter closed thoracic drainage is always significantly higher than the conventional chest puncture（P0.05）,with fewer adverse reactions and convenient operation,is worthy of widely used in clinical.

关 键 词：中心静脉导管胸腔闭式持续引流术 常规胸腔穿刺术 胸腔积液 治疗 

分 类 号：R472[医药卫生—护理学] R561[医药卫生—临床医学]