不同管径闭式引流管用于气胸患者胸腔闭式引流术治疗的临床疗效及对患者疼痛评分的影响  

Clinical effect of different diameter closed drainage tube in the treatment of pneumothorax patients with closed thoracic drainage and its influence on the pain score of patients

作　　者：李为朋[1] 王天娇 董雪峰[1] 张海燕[1] LI Wei-peng;WANG Tian-jiao;DONG Xue-feng(Department of Thoracic Surgery,People's Hospital of Langfang City,Langfang Hebei 065000,China)

机构地区：[1]廊坊市人民医院胸外科,河北廊坊065000

出　　处：《临床和实验医学杂志》2021年第13期1412-1415,共4页Journal of Clinical and Experimental Medicine

基　　金：河北省医学科学研究重点课题计划项目(编号:20160788)。

摘　　要：目的分析传统硅胶引流管、中心静脉引流管用于气胸患者胸腔闭式引流术治疗的临床效果与对患者术后疼痛评分的影响。方法前瞻性分析2018年7月至2020年11月廊坊市人民医院行胸腔闭式引流术患者60例,采用随机数字表法将患者分为A组30例、B组30例。A组采用中心静脉导管进行术后引流,B组采用传统硅胶胸管用于手术引流。观察2组患者气胸治疗效果,围术期各项指标及术后生活活动能力指数、疼痛评分情况。结果A、B组治疗总有效率分别为93.33%、86.67%,2组总有效率比较,差异无统计学意义(P>0.05)。A组与B组肺复张时间比较[(2.45±0.61)d vs.(2.58±0.67)d],差异无统计学意义(P>0.05);A组伤口愈合时间、住院时间分别为(6.08±1.35)、(5.03±1.28)d,显著短于B组[(6.88±1.31)、(5.87±1.39)d],差异有统计学意义(P<0.05)。引流15 d后,A组Barthel指数为(70.3±10.2)分显著高于B组[(58.3±8.7)分],视觉模拟疼痛评分为(2.02±0.05)分,显著低于B组[(3.78±1.03)分],差异有统计学意义(P<0.05)。结论中心静脉导管引流用于气胸患者胸腔闭式引流术与传统硅胶胸管引流临床疗效并无差异,但前者患者术后伤口愈合更快、住院时间更短,生活活动能力更强,疼痛越轻。Objective To analyze the clinical effect of traditional silica gel drainage tube and central venous drainage tube in the treatment of pneumothorax patients with closed thoracic drainage and their influence on postoperative pain score.Methods From July 2018 to November 2020,60 patients underwent thoracic drainage in People's Hospital of Langfang City were prospectively analyzed.The patients were randomly divided into group A(30 cases)and group B(30 cases).The group A was treated with central venous catheter for postoperative drainage,and the group B was treated with traditional silicone chest tube for surgical drainage.The therapeutic effect of pneumothorax,perioperative indexes,postoperative activity of life index and pain score of the two groups were observed.Results The total effective rates of treatment in groups A and B were 93.33%and 86.67%,respectively.There was no statistically significant difference in the total effective rates between the two groups(P>0.05).Comparing the recruitment time between group A and group B[(2.45±0.61)d vs.(2.58±0.67)d],the difference was not statistically significant(P>0.05);the wound healing time and hospital stay of group A were(6.08±1.35),(5.03±1.28)d,which were significantly shorter than those in the group B[(6.88±1.31),(5.87±1.39)d],the differences were statistically significant(P<0.05).After 15 days of drainage,the Barthel index in group A was(70.3±10.2)points,which was significantly higher than that in group B[(58.3±8.7)points],and the visual analog pain score was(2.02±0.05)points,which was significantly lower than that in group B[(3.78±1.03)points],the differences were statistically significant(P<0.05).Conclusion Central venous catheter drainage for pneumothorax patients with closed thoracic drainage and traditional silica gel chest tube drainage has no difference in clinical efficacy,but the former patients have faster wound healing,shorter hospital stay,stronger activity of life and less pain.

关 键 词：气胸 传统硅胶引流管 中心静脉引流管 胸腔闭式引流术 疼痛评分 

分 类 号：R561.4[医药卫生—呼吸系统]