持续负压吸引对原发性自发性气胸患者的疗效影响  

Influence of Continuous Negative Pressure Suction on the Treatment of Patients with Primary Spontaneous Pneumothorax

作　　者：陈星[1] 孙明伟[1] 

机构地区：[1]四川省医学科学院四川省人民医院城东病区,四川成都610101

出　　处：《中国医药指南》2013年第32期41-42,共2页Guide of China Medicine

摘　　要：目的探讨持续负压吸引对治疗原发性自发性气胸患者的影响,评估持续使用胸腔负压吸引的必要性。方法对收住我院的符合入选标准的患者40例,应用随机数字法分为负压组和对照组。比较两组患者行胸腔闭式引流术后48h累积胸腔积液引流量、胸腔内持续有气时间,拔出胸腔闭式引流管时间。结果负压组48h累积胸腔积液引流量(50±4.0)mL较对照组的(30±3.0)mL明显升高,差异有统计学意义(P<0.05)。负压组胸腔内持续有气体的中位时间72.00h较对照组的中位时间95.00h缩短,差异有统计学意义(P<0.05)。负压组拔出胸腔闭式引流管时间的中位时间96.00h较对照组的中位时间128.00h缩短,差异有统计学意义(P<0.05)。结论持续负压吸引患者的引流时间、拔管时间较对照组缩短,但胸腔积液引流量增加。持续负压吸引作为一种治疗原发性自发性气胸手段,不适合常规应用。Objective To explore the influence of continuous negative pressure suction on the treatment of patients with primary spontaneous pneumothorax, and to evaluate the necessity of continuous negative pressure suction. Methods 40 patients after thoracic drainage were randomly divided into suction group with continuous negative pressure suction and control group by using random number table.48h cumulative pleural effusion and the duration of air in pleura and the time of pulled out drainage tube were compared between the two groups. Results The 48 h cumulative pleural effusion of suction group（50±4.0）mL was significantly higher than that in control group（30±3.0）（P〈0.05）. The median persisting air duration of suction group（72.00h）was significantly shorter than that of the control group（95.00h）（P〈0.05）. The time of pulled out drainage tube of suction group（96.00h）was significantly shorter than that of the control group（128.00 h）（P〈0.05）. Conclusion The continuous negative pressure suction can shorten drainage time of pleural effusion, but it can cause the increasion of pleural effusion. Continuous negative pressure suction be used as a treatment but not a routine one.

关 键 词：气胸 持续负压吸引 引流术 

分 类 号：R561.4[医药卫生—呼吸系统]