中心静脉导管与静脉留置针引流胸腔积液的效果比较  

Effect comparison of the central venous catheter and venous indwelling needle in the drainage of pleural effusion

作　　者：王岚[1] 庄番[1] 徐敬端[1] 

机构地区：[1]河南科技大学第一附属医院呼吸与危重症医学科,洛阳471003

出　　处：《中国当代医药》2015年第18期164-165,168,共3页China Modern Medicine

摘　　要：目的 比较中心静脉导管与静脉留置针引流胸腔积液的临床效果。方法 选取本院2013年6月-2014年6月收治的62例胸腔积液患者作为研究对象,随机分为对照组和研究组,各31例。对照组采用传统的静脉留置针,研究组采用中心静脉导管。比较两组的置管次数、胸腔积液控制时间以及穿刺置管期间和术后的并发症发生率。结果 研究组的置管次数显著少于对照组,差异有统计学意义（P〈0.05）。研究组的胸腔积液控制时间显著短于对照组,差异有统计学意义（P〈0.05）。研究组的堵管和脱管发生率显著低于对照组,差异有统计学意义（P〈0.05）。结论 中心静脉导管引流胸腔积液的效果明显优于静脉留置针,值得临床推广应用。Objective To compare the effect of central venous catheter and venous indwelling needle in the drainage of pleural effusion. Methods 62 patients with pleural effusion from June 2013 to June 2014 in our hospital were randomly divided into the control group and the research group,31 cases in each group.All patients were given traditional therapy.The control group was given venous indwelling needle,the research group was given central venous catheter.The number of tube,the time of pleural effusion control and the incidence rate of complication during and postoperative tubet in two groups was compared respectively. Results The number of tube in the research group was less than that in the control group,with significant difference（P〈0.05）.The time of pleural effusion controlled in the research group was shorter than that in the control group,with significant difference（P〈0.05）.The incidence rate of pipe blocking and tube knockout in the research group was lower than that in the control group,with significant difference（P〈0.05）. Conclusion The effect of central venous catheter on drainage of pleural effusion is obviously better than that of venous indwelling needle,it is worthy of clinical promotion and application.

关 键 词：胸腔积液 中心静脉导管 临床效果 并发症 

分 类 号：R561.3[医药卫生—呼吸系统]