三腔型胸腔引流瓶在肺癌术后患者中运用的效果观察  

Effect of three pleural cavity drainage bottle in lung cancer patients

作　　者：曾小平[1] 罗帆[1] 唐维娟[1] 王德琴[1] 胡怡[1] 谢静[1] 李争[1] 张慧[1] 

机构地区：[1]贵州省人民医院胸外科,贵州贵阳550002

出　　处：《中国现代医学杂志》2015年第8期73-75,共3页China Journal of Modern Medicine

摘　　要：目的探讨三腔引流瓶对肺癌术后患者拔管时间、住院时间、术后皮下气肿、气胸发生率和术后引流液量的影响。方法选取2012年11月-2013年11月在该院胸外科定点连续采样肺癌患者,根据排除标准,用随机对照方法,实验组128例,对照组130例。实验组患者肺癌术后使用三腔型胸腔闭式引流瓶;对照组使用普通单腔型闭式引流瓶。观察患者的带管时间、住院时间、术后皮下气肿、气胸发生率和术后引流液量。结果实验组与对照组相比,术后带管时间较短[(5.50±1.5)d vs(3.2±1.2)d,P=0.047],术后气胸发生率(20.0%vs10.9%,P=0.037)。结论三腔闭式引流瓶能缩短肺癌患者术后带管时间,降低术后气胸发生率,减少患者经济负担以及身心痛苦。[Objective] To compare the effects of single and three pleural cavity drainage bottle applications in lung cancer patients who accepted lobectomy. [Methods] This was a random controlled study. A total of 258 patients with lung cancer were included in this study who underwent lobectomy in our hospital between November 2012 and November 2013. There were 128 patients in the experimental group who used three pleural cavity drainage bottles after lobectomy, and 130 patients in the control group who used single pleura1 cavity drainage bottles. The intubation time, hospital stay, the incidences of postoperative subcutaneous emphysema and pneumothorax, and the amount of fluid drainage were observed. [Results] The postoperative intubation time in the experimental group was shorter than that in the control group [（3.2 ±1.2） d vs （5.50 ±1.5） d,P=0.047]. There were statistical differences in the postoperative hospital stay. The incidence of pneumothorax in the experimental group was lower than that in the control group （10.9% vs 20.0%,P= 0.037）. [Conclusion] Three pleural cavity drainage bottle can reduce the pain and financial burden of lung cancer patients

关 键 词：肺癌 胸腔闭式引流 

分 类 号：R734.2[医药卫生—肿瘤]