中心静脉导管胸腔闭式引流术连接便携式手动引流瓶治疗自发性气胸患者的疗效观察  

Clinical efficacy of closed drainage by central venous catheter combined with portable manual drainage bottle as a technology in the treatment of spontaneous pneumothorax

作　　者：陈汉才 葛建军 CHEN Han-cai; GE Jian-jun(Department of Respiratory Medicine, The First People＇ s Hospital of Linhai, Taizhou 317000, China)

机构地区：[1]临海市第一人民医院呼吸内科,浙江台州317000

出　　处：《健康研究》2018年第5期538-540,共3页Health Research

摘　　要：目的观察分析中心静脉导管胸腔闭式引流术接便携式手动引流瓶治疗自发性气胸患者的临床疗效。方法55例自发性气胸患者随机分为对照组25例和观察组30例,对照组采用胸腔闭式引流术接水封瓶加负压吸引治疗自发性气胸,观察组采用中心静脉导管胸腔闭式引流术接便携式手动引流瓶治疗自发性气胸,比较两组患者的临床疗效、引流时间、疼痛评分以及并发症情况。结果观察组临床总有效率(83. 3%)与对照组(80. 0%)比较差异无统计学意义(P> 0. 05);观察组引流时间与对照组比较差异无统计学意义(P> 0. 05);治疗后,观察组疼痛评分低于对照组,差异有统计学意义(P <0. 05);观察组复张性肺水肿发生率(10. 0%)低于对照组(32. 0%),差异有统计学意义(P <0. 05)。结论中心静脉导管胸腔闭式引流术接便携式手动引流瓶治疗自发性气胸能降低患者疼痛和复张性肺水肿发生率。Objective To evaluate the clinical efficacy and safety of closed drainage by central venous catheter together with portable manual drainage bottle as a technology in the treatment of spontaneous pneumothorax. Methods 55 patients of spontaneous pneumothorax were firstly chosen as the subjects of study and divided into an experimental group（ n = 30） and a control（ n = 25）. The control group was treated with traditional closed thoracic drainage bottle along with a water seal negative pressure drainage. The experimental group was treated with thoracic closed central venous catheter drainage together with portable manual drainage bottle. The clinical efficacy,drainage duration,pain score and complications in both groups were analyzed and compared. Results The rate of clinical efficacy as observed in the experimental group was83. 3%,which was similar to that of the control group（ 80. 0%）（ P〈0. 05）. No significant difference was found between the two groups in drainage duration（ P〈0. 05）. After treatment,the pain score of the experimental group was significantly lower than that of the control group（ P〈0. 05）. The rate of incidence of re-expansion pulmonary edema in the experimental group was 10. 0%,which was significantly lower than that of the control group（ 32. 0%）. The difference wasstatistically significant（ P〈0. 05）. Conclusions Closed drainage by central venous catheter together with portable manual drainage bottle as a technology for the treatment of spontaneous pneumothorax can effectively reduce pain and the incidence of re-expansion pulmonary edema resulting from the process of treatment.

关 键 词：中心静脉导管 自发性气胸 便携式手动引流瓶 复张性肺水肿 

分 类 号：R561[医药卫生—呼吸系统]