低负压胸腔吸引在闭合性气胸治疗中的应用研究  

Application of Low Negative Pressure Thoracic Suction in the Treatment of Closed Pneumothorax

作　　者：付莉 柯有力[1] Fu Li;Ke Youli(Wuhan Integrated Traditional Chinese and Western Medicine Hospital/Wuhan First Hospital,430022)

机构地区：[1]湖北省武汉市中西医结合医院/武汉市第一医院,430022

出　　处：《现代医用影像学》2019年第10期2352-2353,2356,共3页Modern Medical Imageology

摘　　要：目的:研究分析低负压胸腔吸引在闭合性气胸治疗中的应用效果。方法:2018年1月到2019年1月,本院一共收治112例闭合性气胸患者,根据治疗方法的不同将112例患者随机分为两组,两组均给予胸腔闭式引流治疗,治疗组56例联合实施低负压胸腔吸引治疗,比较两组患者的治疗结局。结果:治疗组56例的治疗有效率96.4%大于对照组76.8%(P<0.05)。治疗组56例的肺复张时间、引流时间、血气改善时间、肺稳定时间、平均住院时间均短于对照组(P<0.05)。治疗组56例的术后并发症(皮下气肿、胸腔积液、肺部感染。胸痛)发生率5.4%小于对照组的23.2%(P<0.05)。术后随访10月,治疗组56例的术后复发率3.6%小于对照组的16.1%(P<0.05)。结论:闭合性气胸患者应用低负压胸腔吸引治疗,可提高临床治疗效果,加快临床症状的改善,减少术后并发症、术后复发率,值得在临床应用推广。Objective:to study and analyze the effect of low negative pressure thoracic suction in the treatment of closed pneumothorax.Methods:from January 2018 to January 2019,a total of 112 patients with closed pneumothorax were admitted to our hospital.According to different treatment methods,112 patients were randomly divided into two groups.Both groups were given closed thoracic drainage treatment,and 56 patients in the treatment group were combined with low negative pressure thoracic suction treatment.Results:the effective rate of 56 cases in the treatment group was 96.4%higher than that in the control group(P<0.05).The recovery time,drainage time,blood gas improvement time,lung stabilization time and mean hospital stay of 56 patients in the treatment group were shorter than those in the control group(P<0.05).Postoperative complications(subcutaneous emphysema,pleural effusion,pulmonary infection)were found in 56 patients in the treatment group.The incidence of chest pain was 5.4%compared with 23.2%in the control group(P<0.05).The postoperative recurrence rate of 56 cases in the treatment group was lower than that in the control group(P<0.05).Conclusion:low negative pressure chest suction therapy for closed pneumothorax patients can improve the clinical effect,accelerate the improvement of clinical symptoms,reduce postoperative complications and postoperative recurrence rate.

关 键 词：胸腔闭式引流 闭合性气胸 低负压胸腔吸引 并发症 复发率 

分 类 号：R561.4[医药卫生—呼吸系统]