猪尾巴导管加负压引流治疗液气胸的效果观察  

Effect Observation of Pigtail Catheter and Negative Pressure Drainage in Treatment of Hydropneumothorax

作　　者：陈莹[1] 林万里[1] 张海[1] 冯才厚[1] 龚兰娟[1] 

机构地区：[1]广东省高州市人民医院胸外科,广东茂名525200

出　　处：《临床医学工程》2016年第6期699-700,共2页Clinical Medicine & Engineering

基　　金：茂名市科技计划项目"猪尾巴导管加负压引流治疗液气胸的临床研究"(项目编号:2013228)

摘　　要：目的观察猪尾巴导管加负压引流治疗液气胸的临床效果。方法选取我院2014年5月至2015年9月收治的液气胸患者48例为研究对象,根据入院顺序随机分为两组各24例。对照组经中心静脉导管引流,观察组经猪尾巴导管加负压引流。比较两组患者的引流效果和预后情况。结果观察组的治疗总有效率为95.83%,明显高于对照组的75.00%(P<0.05);观察组的并发症发生率为4.17%,显著低于对照组的25.00%(P<0.05);观察组的导管留置时间和住院时间均显著短于对照组(P<0.05)。结论猪尾巴导管加负压引流治疗液气胸的效果明显优于中心静脉导管,还可降低并发症,缩短导管留置时间,促进预后,在液气胸引流中具有一定的应用价值。Objective To observe the clinical effect of pigtail catheter and negative pressure drainage in treating hydropneumothorax. Methods 48 patients with hydropneumothorax treated in our hospital from May 2014 to September 2015 were randomly divided into two groups according to the admission sequence, with 24 cases in each group. The control group was given central venous catheter drainage, the observation group was given pigtail catheter negative pressure drainage. The drainage effect and prognosis of patients in the two groups were compared. Results The total effective rate of the observation group was 95.83%, higher than 75.00% of the control group （P〈O.05）; the incidence of complications in the observation group was 4.17%, lower than 25.00% in the control group （P 〈0.05）; the catheter indwelling time and hospital stay of the observation group was shorter than that of the control group （P 〈0.05）. Conclusions Pigtail catheter and negative pressure drainage have better effect than central venous catheter drainage in treating hydropneumothorax, and can reduce complications, shorten catheter indwelling time and promote prognosis, with a certain application value in hydropneumothorax drainage.

关 键 词：液气胸引流 猪尾巴导管 应用效果 

分 类 号：R561-3[医药卫生—呼吸系统]