10Fr、16G口径胸腔引流管在气胸治疗中的疗效与安全性  

Efficacy and safety of 10-French,16-Gauge thoracic drainage tubes in treatment of pneumothorax

作　　者：梁永祥 梁达豪 魏树全[2] 赵子文[2] Liang Yongxiang;Liang Dahao;Wei Shuquan;Zhao Ziwen(Department of Respiratory and Critical Care Medicine,Xinxing County People’s Hospital,Yunfu,527400,Guangdong;Department of Respiratory and Critical Care Medicine,Guangzhou First People’s Hospital,Guangzhou,China)

机构地区：[1]云浮市新兴县人民医院呼吸与危重症医学科 [2]广州市第一人民医院呼吸与危重症医学科,广东云浮527400

出　　处：《广州医科大学学报》2020年第1期40-44,共5页Academic Journal of Guangzhou Medical University

摘　　要：目的:探讨10Fr、16G口径胸腔引流管在气胸治疗中的疗效与安全性。方法2018年1月至2019年4月新兴县人民医院收治的60例气胸患者通过随机数字表进入试验组(10Fr组20例,16G组20例)和对照组(20例)。试验组采用10Fr、16G-次性无菌留置引流导管包,对照组采用28Fr引流管经传统钝性分离胸壁置入术,分别由呼吸专科医师操作进行胸腔闭式引流。并对初次复张成功率、引流管停留时间、住院时间、并发症、疼痛评分及操作时长进行观察统计。结果初次复张成功率试验组10Fr组与对照组差异无统计学意义(85%比85%,P>0.05),16G组初次引流复张率明显低于对照组(60%比85%,P<0.05);引流管停留时间和住院时间试验组10Fr组与对照组差异无统计学意义(P>0.05),16G组与对照组比明显延长(6.8±2.3比5.3±2.2天,8.5±2.4比7.5±2.5天,P<0.05);并发症发生率试验组10Fr组远低于对照组(0.05%比20%,P<0.05),16G组与对照组差异无统计学意义(P>0.05);患者疼痛评分试验组10Fr组、16G组明显低于对照组(1.3±0.8vs1.0±0.5vs 2.7±1.2,P<0.05);操作时长试验组10Fr组、16G组均明显少于对照组(13.9±3.7 vs 12.8±3.1vs32.1±3.6分钟,P<0.05)。结论新型的小口径10Fr套管胸腔闭式引流与传统大口径导管通过钝性分离胸腔闭式引流方法在治疗气胸上疗效相当,但是并发症少,操作简便,患者耐受性较高。Objective:To investigate the efficacy and safety of 10-French(Fr)and 16-Gauge(G)thoracic drainage tubes in the treatment of pneumothorax.Methods:Sixty patients with pneumothorax admitted to Xinxing County People’s Hospital between January 2018 and April 2019 were included in the study groups(n=20 each in the 10-Fr group and 16-G group)and the control group(n=20)by random number table.Thoracic drainage was completed by pulmonologists using sterile disposable 10-Fr or 16-G catheter packs for the study groups,and 28-Fr drainage tube placement with conventional blunt dissection of chest wall in the control group.The two groups were recorded and compared for the success rate of initial lung recruitment,duration of tube indwelling,length of hospital stay,complications,pain score,and operation time.Results:The success rate of initial lung recruitment was comparable between the 10-Fr group and the control group(85%vs.85%,P>0.05)but was significantly lower in the 16-G group compared with the control group(60%vs.85%,P<0.05).The duration of tube indwelling and length of hospital stay were comparable between the 10-Fr group and the control group(P>0.05),but were significantly longer in the 16-G group compared with the control group(6.8±2.3 vs.5.3±2.2 days,8.5±2.4 vs 7.5±2.5 days,both P<0.05).The incidence of complications was much lower in the 10-Fr group than that in the control group(0.05%vs.20%,P<0.05),but was comparable between the 16-G group and the control group(P>0.05).The pain score was significantly lower in the 10-Fr group and 16-G group than that in the control group(1.3±0.8 vs 1.0±0.5 vs 2.7±1.2,P<0.05).The operation time was significantly shorter in the 10-Fr group and 16-G group compared with the control group(13.9±3.7 vs 12.8±3.1 vs 32.1±3.6 min,P<0.05).Conclusion:Closed thoracic drainage with novel 10-Fr small-bore tube leads to similar efficacy in treating pneumothorax compared with conventional large-bore tube indwelling through blunt separation of chest wall,but is with fewer complications,simp

关 键 词：气胸 胸腔闭式引流 小口径引流管 

分 类 号：R561.4[医药卫生—呼吸系统]