慢性阻塞性肺疾病并发气胸患者不同干预方式的疗效观察  

The efficacy of different ways of intervention for COPD with pneumothorax

作　　者：曾雪梅 

机构地区：[1]成都市成飞医院呼吸科,四川成都610091

出　　处：《临床和实验医学杂志》2016年第3期240-243,共4页Journal of Clinical and Experimental Medicine

摘　　要：目的研究不同干预方式对慢性阻塞性肺疾病(COPD)并发气胸患者的治疗效果。方法选择2010年3月至2014年11月期间收治的90例COPD并发气胸患者,按照完全随机分组原则分为胸腔穿刺抽气组(A组)、微创引流管闭式引流组(B组)和传统胸腔闭式引流组(C组),每组30例。比较三组患者干预后的疗效和不良反应情况。结果三组患者的伤口愈合时间、引流时间、住院时间、肺复张时间和术后胸痛时间差异有显著性,其中B组患者伤口愈合时间、引流时间、住院时间、肺复张时间、术后胸痛时间最短,C组患者次之,A组患者最长。三组患者的临床有效率比较,差异无统计学意义(P>0.05)。三组患者出现的不良反应比较,B组不良反应例数少于其它两组,但差异无统计学意义(P>0.05)。结论应用微创引流管闭式引流术治疗COPD并发气胸患者比胸腔穿刺抽气法和传统胸腔闭式引流法治疗更有利于患者恢复,还能减轻患者痛苦,是一种比较理想的治疗方法。Objective To study the efficacy of different ways of intervention for COPD with pneumothorax. Methods 90 cases of COPD patients with pneumothorax in our hospital from March 2010 to November 2014 were include into the present study. There were divided into the group A（ 30 cases）,group B（ 30 cases） and group C（ 30 cases） according to the different interventions ways. Group A were treated with thoracentesis exhaust,group B were treated with minimally invasive drainage tube closed drainage and group C were treated with traditional thoracic drainage. Efficacy and adverse reactions were compared between three groups after the intervention. Results The wound healing time,drainage time,hospitalization time,lung re-expansion time,postoperative chest pain time in the group B were much shorter than group A and group C（P〈0. 05）. The difference of clinical efficacy between groups was not statistically significant（ P〉0. 05）. The adverse events of group B were less than the other two groups,while the difference in adverse events between the three groups of patients were not statistically significant（ P〉0. 05）. Conclusion Closed thoracic drainage is a better choice for COPD patients with pneumothorax,and it is better for patients＇ recovery than thoracentesis extraction method,patients suffer lighter,it is an ideal method of treatment.

关 键 词：慢性阻塞性肺疾病 气胸 胸膜腔穿刺抽气 胸腔闭式引流术 

分 类 号：R563.9[医药卫生—呼吸系统] R561.4[医药卫生—内科学]