经皮胸腔置入细导管持续负压吸引治疗自发性气胸效果观察  

Effect analysis of continuous negative pressure suction in the treatment of spontaneous pneumothorax by percutaneous fine thoracic duct insertion

作　　者：周金山[1] ZHOU Jin-shan(Department of Thoracic and Cardiovascular Surgery, the Fourth A~liated Hos- pltal , Zhejiang University Medical College, Yiwu , Zhejiang 322000, Chin)

机构地区：[1]浙江大学医学院附属第四医院心胸外科,浙江省义乌市322000

出　　处：《临床合理用药杂志》2016年第29期11-12,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的观察经皮胸腔置入细导管持续负压吸引治疗自发性气胸的效果。方法选取80例自发性气胸患者,随机分为观察组和对照组,每组各40例。观察组予以细针穿刺持续负压吸引,对照组采用粗导管闭式胸腔引流。观察2组治愈情况及并发症发生情况,评估焦虑情况。结果观察组肺复张时间和住院天数短于对照组,差异有统计学意义(P<0.05)。2组BAI评分比较差异无统计学意义(P>0.05)。观察组皮下气肿发生率低于对照组,差异有统计学意义(P<0.01)。2组胸腔出血、胸膜反应、感染发生率比较差异无统计学意义(P>0.05)。结论经皮胸腔置入细导管持续负压吸引治疗自发性气胸效果好,并发症少。Objective To observe the clinical effect of continuous negative pressure suction in the treatment of spon- taneous pneumothorax by percutaneous fine thoracic duct insertion. Methodg 80 cases of patients with spontaneous pneumo- thorax were randomly divided into observation group and control group,40 cases in each group. Observation group was treated with continuous negative pressure attraction by percutaneons fine thoracic duct insertion, while the thoracic closed drainage was used in the control group by thick tube. Observe the treatment condition and complications, and assess the situation of anxiety. l^estdts The pulmonary rehabilitation time and hospitalization days of observation group were shorter than the control group, the difference was statistically significant （ P 〈 0.05 ）. The BAI score was similar between the two groups, which had no statisti- cal significance （ P 〉 0.05 ）. The incidence of subcutaneous emphysema of observation group was lower than the control group, the difference was statistically significant （P 〈 0.01 ）.There were no significant difference between the 2 groups in the inci- dence of thoracic cavity hemorrhage, pleura] reaction and infection （ P 〉 0.05 ）. Conclusion The effect of continuous nega- tive pressure suction in the treatment of spontaneous pneumothorax by percutaneous fine thoracic duct insertion is good, with the less complication.

关 键 词：自发性气胸 细导管持续负压吸引 肺复张时间 并发症 

分 类 号：R655[医药卫生—外科学]