中心静脉导管胸腔留置与传统胸腔闭式引流治疗恶性胸腔积液的效果观察  

The effect indwelling central venous catheter with conventional chest closed chest drainage treatment of malignant pleural effusion

作　　者：骆坚 黄敏 陈金艳 刘旱秀 张维婷 

机构地区：[1]广东省韶关市第一人民医院心胸外科,韶关市512000

出　　处：《护理实践与研究》2015年第12期11-12,共2页Nursing Practice and Research

摘　　要：目的:比较中心静脉导管(CVC)胸腔留置与胸腔闭式引流治疗恶性胸腔积液对患者心理状态、日常活动能力、疼痛程度的影响。方法:将60例恶性胸腔积液患者随机等分为试验组与对照组。对照组行传统的胸膜腔闭式引流术引流胸腔积液,试验组采用中心静脉导管胸腔留置引流胸腔积液。比较两组患者置管后第15天HAMA评分、生活活动能力Barthel指数、视觉模拟评分量表(VAS)评估疼痛指数。结果:对照组患者HAMA评分、Barthel指数和VAS评分变化幅度高于试验组(P<0.05),差异均有统计学意义。结论:CVC留置胸腔引流与传统胸膜腔闭式引流管相比,能减轻患者焦虑和疼痛程度,提高患者的生活质量,值得临床推广应用。Objective： To compare the central venous catheter（ CVC） indwelling pleural and thoracic drainage treatment,activities of daily living,pain degree of influence on the psychological state of malignant pleural effusion patients. Methods： 60 cases were randomly divided into patients with malignant pleural effusion test group and the control group. The control group underwent conventional drainage of pleural cavity closed drainage of pleural effusion,the test group with indwelling central venous catheter drainage of pleural effusion. After the two groups were compared catheter HAMA score first 15 days of life activity Barthel index,visual analog scale score（ VAS） to assess pain index. Results： The patients in the control group HAMA score,Barthel index and VAS score changes magnitude higher than the experimental group（ P 〈 0. 05）,the differences were statistically significant. Conclusion： CVC indwelling pleural drainage and traditional compared to the pleural cavity closed drainage tube,can reduce anxiety and pain patients,improve the quality of life of patients,worthy of clinical application.

关 键 词：中心静脉导管 胸膜腔闭式引流 恶性胸腔积液 效果 护理 

分 类 号：R473.73[医药卫生—护理学]