粗细管胸腔闭式引流治疗气胸的疗效对比分析  

Comparative analysis of the curative effect of closed thoracic drainage with thick tube and thin tube in treatment of pneumothorax

作　　者：白敏[1] 尹岩[2] 徐学广 卢振[3] BAI Min;YIN Yan;XU Xue-guang;LU Zhen(Department of Respiratory Medicine,Tianjin Hongqiao Hospital,Tianjin 300131,China;Tianjin Chest Hospital;Tianjin Hongqiao Hospital)

机构地区：[1]天津市红桥医院呼吸科,天津300131 [2]天津市胸科医院 [3]天津市红桥医院

出　　处：《中国城乡企业卫生》2020年第10期16-19,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的探讨粗细管胸腔闭式引流治疗原发性自发性气胸的临床效果及适用人群。方法选取2017年6月-2019年6月天津市胸科医院收治的应用闭式引流治疗的原发性自发性气胸患者98例为研究对象,根据引流方式分为细管组48例和粗管组50例。观察两组间及两组组内拔管时间、伤口愈合时间、住院时间、3 d肺复张率、管道堵塞率、皮下气肿发生率及需要干预的疼痛发生率;分析肺复张率的影响因素。结果细管组住院时间及伤口愈合时间均短于粗管组,皮下气肿及需要干预的疼痛的发生率均低于粗管组,差异均有统计学意义(P<0.05);两组无吸烟史组拔管时间、住院时间均短于有吸烟史组,3 d肺复张率高于有吸烟史组,差异均有统计学意义(P<0.05);两组年龄<60岁组拔管时间、住院时间均短于年龄≥60岁组,3 d肺复张率高于年龄≥60岁组,差异均有统计学意义(P<0.05)。两组皮下气肿、需要干预的疼痛、管道堵塞的发生率及伤口愈合时间组间及组内比较,差异均无统计学意义(P>0.05)。结论细管引流应用于原发性自发性气胸,安全有效,吸烟和年龄是影响拔管时间和3 d肺复张率的危险因素。Objective To explore the clinical effect of closed thoracic drainage with thick tube and thin tube in treatment of primary spontaneous pneumothorax and its applicable population.Methods From June2017 to June 2019,98 cases of primary spontaneous pneunomothorax were treated by closed thoracic drainage in Tianjin Chest Hospital were selected as the research objects.According to the way of drainage,they were divided into thin tube group with 48 cases and thick tube group with 50 cases.The extubation time,wound healing time,hospitalization time,3-day lung recruitment rate,tube blockage rate,subcutaneous emphysema incidence and pain incidence which needed intervention were observed between the two groups and within the two groups,and the influencing factors of lung recruitment rate were analyzed.Results The hospitalization time and wound healing time of the thin tube group were shorter than those of the thick tube group,and the incidence of subcutaneous emphysema and pain needing intervention were lower than those of the thick tube group,and the differences were statistically significant(P<0.05).In the two groups,the extubation time and hospitalization time of without smoking history group were shorter than those of with smoking history group,and the 3-day lung recruitment rate was higher than that of with smoking history group,and the differences were statistically significant(P<0.05).In the two groups,the extubation time and hospitalization time of<60 years group were shorter than those of 60 years group,and the 3-day lung recruitment rate was higher than that of 60 years group,and the differences were statistically significant(P<0.05).There was no significant difference between the two groups in the incidence of subcutaneous emphysema,pain incidence which needed intervention,tube blockage and wound healing time between the two groups(P>0.05).Conclusion Thin tube drainage was safe and effective in the treatment of primary spontaneous pneumothorax,smoking and age were risk factors for extubation time and 3-day lung re

关 键 词：细管 粗管 气胸 疗效 

分 类 号：R5[医药卫生—内科学]