分析改良细导管引流对老年胸腔积液患者的治疗效果  

Analysis of the Effect of Modified Thin Catheter Drainage on the Treatment of Elderly Patients with Pleural Effusion

作　　者：凌勇 LING Yong(Department of Respiratory Medicine,Hongquan Hospital,Yangzhou,Jiangsu Province,225200 China)

机构地区：[1]江苏省扬州洪泉医院呼吸内科,江苏扬州225200

出　　处：《世界复合医学》2021年第1期71-73,共3页World Journal of Complex Medicine

摘　　要：目的探讨老年患者胸腔积液治疗中改良细导管的应用效果与安全性。方法选取2017年5月—2019年5月江苏省扬州洪泉医院收治的老年胸腔积液患者108例,随机分为对照组与观察组,各54例。对照组治疗方法为传统间断抽液法,观察组治疗方法为改良细导管引流法,比较两组抽液量、胸腔积液消失时间、住院治疗时间、住院费用以及并发症发生情况。结果观察组抽液量少于对照组[(2.81±0.62)L vs(2.15±0.55)L],差异有统计学意义(t=5.852,P<0.05);观察组胸腔积液消失时间[(8.36±1.25)d vs(5.60±0.84)d]和住院治疗时间[(14.75±3.88)d vs(10.02±2.13)d]均短于对照组,差异有统计学意义(t=13.467、7.853,P<0.05);观察组住院费用低于对照组,差异有统计学意义(t=24.364,P<0.05);观察组并发症发生率为5.56%,低于对照组的25.93%,差异有统计学意义(χ^(2)=8.447,P<0.05)。结论改良细导管引流治疗老年胸腔积液的效果较好,可使胸腔积液尽快消失,且并发症少,安全性高。Objective To investigate the application effect and safety of improved thin catheters in the treatment of pleural effusions in elderly patients.Methods A total of 108 elderly patients with pleural effusion admitted to Hongquan Hospital of Yangzhou,Jiangsu Province from May 2017 to May 2019 were randomly divided into control group and observation group,with 54 cases in each group.The treatment method of the control group was the traditional intermittent fluid aspiration method,and the treatment method of the observation group was the modified thin catheter drainage method.The fluid volume,pleural effusion disappearance time,hospitalization time,hospitalization expenses and complications were compared between the two groups.Results The amount of fluid drawn from the observation group was less than that of the control group[(2.81±0.62)L vs(2.15±0.55)L],the difference was statistically significant(t=5.852,P<0.05);the observation group pleural effusion disappeared time[(8.36±1.25)d vs(5.60±0.84)d]and hospitalization time[(14.75±3.88)d vs(10.02±2.13)d]were shorter than the control group,the difference was statistically significant(t=13.467,7.853,P<0.05);the hospitalization expense of the observation group was lower than that of the control group,the difference was statistically significant(t=24.364,P<0.05);the complication rate of the observation group was 5.56%,which was lower than 25.93%of the control group,the difference was statistically significant(χ^(2)=8.447,P<0.05).Conclusion Improved thin catheter drainage has a better effect on the treatment of pleural effusion in the elderly,which can make the pleural effusion disappear as soon as possible,with fewer complications and high safety.

关 键 词：老年患者 胸腔积液 改良细导管引流 临床疗效 并发症 

分 类 号：R561[医药卫生—呼吸系统]