改良胸腔引流方式在单孔胸腔镜下肺癌根治术后患者中的应用  

Modified Pig Tail Drainage Catheter in Patients with Lung Cancer After Single-hole Thoracoscopic Radical Resection

作　　者：许芳兰[1] 管顺芳[1] 王英[2] 马翠英[1] XU Fanglan;GUAN Shunfang;WANG Ying;MA Cuiying(Department of Cardiothoracic Surgery,The Second Affiliated Hospital of Suzhou University,Suzhou 215004,Jiangsu Province,China;Department of Nursing,The Second Affiliated Hospital of Soochow University)

机构地区：[1]苏州大学附属第二医院胸心外科,江苏苏州215004 [2]苏州大学附属第二医院护理部

出　　处：《解放军护理杂志》2021年第5期82-85,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：国家自然科学基金(81802989)。

摘　　要：目的探讨改良胸腔引流方式在单孔胸腔镜下肺癌根治术后的应用效果。方法便利抽样选取某院胸心外科2018年2月至2019年6月收治的单孔胸腔镜下肺癌根治术后患者100例,采用随机数表法分为观察组和对照组各50例。观察组采用猪尾巴导管于切口下2肋间置管后3M弹力胶布高举平台法固定,对照组采用传统24 FR胸腔引流管于单孔切口处置管并予缝线结扎固定,比较两组患者的临床疗效、疼痛程度、并发症发生率、引流效果及术后住院时间。结果两组患者的临床疗效差异无统计学意义(P=0.755);观察组患者的疼痛程度、肺不张及切口愈合不良的发生率低于对照组,引流管留置时间及术后住院时间短于对照组,差异均有统计学意义(P<0.05或P<0.01)。结论单孔胸腔镜下肺癌根治术后采用改良胸腔引流方式,不仅减轻了患者的疼痛,而且引流效果充分,降低了切口愈合不良、肺不张等并发症的发生率,有助于缩短住院时间,促进患者康复。Objective To explore the effect of pig tail catheter drainage in lung cancer patient after single-hole thoracoscopic radical resection.Methods By convenience sampling method, 100 patients with lung cancer who underwent single-hole thoracoscopic radical resection in our hospital from February 2018 to June 2019 were selected as the research subjects, and they were randomly divided into observation group and control group with 50 cases in each group.The observation group was treated with pig tail catheter placed in 2 intercostals under the incision, and then fixed with 3 M elastic tape.The control group was treated with a traditional 24 FR thoracic drainage tube in a single incision and fixed with suture ligation.The clinical efficacy, pain degree, complication rate, drainage effect and hospitalization time of the two groups were compared.Results There was no significant difference in the therapeutic effect between the two groups(P=0.755).The pain degree, atelectasis and the incidence of incision poor healing in the observation group were lower than those of the control group, and the retention time and hospitalization time of drainage tube were shorter than those of the control group(P<0.05 or P<0.01).Conclusions The application of modified pig tail drainage catheter after single-hole thoracoscopic lung cancer radical resection not only reduces the pain of patients, but also has sufficient drainage effect, reduces the incidence of complications such as poor wound healing and atelectasis, and helps to shorten the hospitalization time and promote the rehabilitation of patients.

关 键 词：猪尾巴导管 胸腔引流 单孔胸腔镜 肺癌根治术 疼痛 并发症 

分 类 号：R473.6[医药卫生—护理学]