胸腔引流管联合中心静脉导管引流对胸腔镜辅助下肋骨骨折内固定术后康复效果的影响  

Effect of thoracic drainage combined with central venous catheter drainage on postoperative rehabilitation of patients undergoing thoracoscopy-assisted internal fixation of rib fractures

作　　者：张丽 冯守界 王柱 李庆鹏 Li;FENG Shou-jie;WANG Zhu(Editorial Department of International Journal of Anesthesiology and Resuscitation,Xuzhou Medical University,Xuzhou 221002,China)

机构地区：[1]徐州医科大学《国际麻醉学与复苏杂志》编辑部,221002 [2]徐州医科大学附属医院胸心外科,221002

出　　处：《中国实用医药》2020年第9期4-6,共3页China Practical Medicine

摘　　要：目的探讨胸腔引流管联合中心静脉导管引流对胸腔镜辅助下肋骨骨折切开复位内固定术后的康复效果。方法 80例采用胸腔镜辅助下肋骨骨折内固定术治疗的患者,按引流方式不同分为观察组(50例)和对照组(30例)。对照组患者术后常规置入胸腔引流管引流,观察组在对照组基础上放置中心静脉导管引流。比较两组患者术后引流量、术后引流管留置时间、拔管后再穿刺次数和住院时间,术后1、3、5 d视觉模拟评分法(VAS)评分,术后并发症发生情况。结果观察组术后引流管留置时间(1.90±0.60)d、拔管后再穿刺次数(0.08±0.28)次及住院时间(8.40±1.40)d均优于对照组的(4.20±0.80)d、(0.47±0.74)次、(11.90±1.80)d,差异有统计学意义(P<0.05);两组术后引流量比较,差异无统计学意义(P>0.05)。术后1 d,两组患者VAS评分比较差异无统计学意义(P>0.05);术后3、5 d,观察组VAS评分均明显低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(χ^2=5.333, P<0.05)。结论胸腔镜辅助下肋骨骨折内固定术后采用胸腔引流管联合中心静脉导管引流改善了手术治疗效果,减轻了患者疼痛,降低了并发症发生率,缩短了住院时间,有利于患者术后康复。Objective To discuss the effect of thoracic drainage combined with central venous catheter drainage on postoperative rehabilitation of patients undergoing thoracoscopy-assisted internal fixation of rib fractures. Methods A total of 80 patients undergoing thoracoscopy-assisted internal fixation of rib fractures were divided into observation group(50 cases) and control group(30 cases) by different drainage methods. Patients in the control group were routinely placed with a thoracic drainage tube for drainage, and patients in the observation group was placed with a central venous catheter for drainage on the basis of the control group. The postoperative drainage volume, postoperative indwelling time of drainage tube, frequency of re-puncture after extubation, hospitalization time, visual analogue scale(VAS) score at 1, 3 and 5 d after operation and occurrence of complications after operation were compared between the two groups. Results The postoperative indwelling time of drainage tube(1.90±0.60) d, frequency of re-puncture after extubation(0.08±0.28) times and hospitalization time(8.40±1.40) d in the observation group were better than(4.20±0.80) d,(0.47± 0.74) times and(11.90±1.80) d in the control group, and their difference was statistically significant(P<0.05). There was no statistically significant difference in postoperative drainage volume between the two groups(P>0.05). At 1 d after operation, there was no statistically significant difference in VAS score between the two groups(P>0.05). At 3 and 5 d after operation, VAS score in the observation group was obviously lower than that in the control group, and the difference was statistically significant(P<0.05). The incidence of complications after operation in the observation group was lower than that in the control group, and the difference was statistically significant(χ^2=5.333, P<0.05). Conclusion After thoracoscopy-assisted internal fixation of rib fractures, thoracic drainage tube combined with central venous catheter drainage can improve the effe

关 键 词：肋骨骨折 胸腔镜 胸腔管引流 中心静脉导管引流 

分 类 号：R473.6[医药卫生—护理学]