胸腔穿刺置管术治疗胸腔积液的效果研究  

Study on effect of pleural puncture and catheterization on pleural effusion

作　　者：吴聪 WU Cong(Gaozhou Hospital of Traditional Chinese Medicine,Maoming 525200,China)

机构地区：[1]广东省茂名高州市中医院,525200

出　　处：《中国实用医药》2021年第33期45-47,共3页China Practical Medicine

摘　　要：目的研究胸腔穿刺置管术治疗胸腔积液的临床效果。方法90例胸腔积液患者,随机分为研究组和对照组,各45例。对照组患者行常规胸穿抽液治疗,研究组患者行胸腔穿刺置管术治疗。对比两组患者治疗效果,总抽液量、胸水完全吸收时间及住院时间,复发及并发症发生情况,治疗满意度。结果研究组总有效率95.6%明显高于对照组的71.1%,差异具有统计意义(P<0.05)。研究组总抽液量(1190.46±221.61)ml明显少于对照组的(1601.88±232.4)ml,胸水完全吸收时间(7.35±2.62)d和住院时间(12.30±4.32)d明显短于对照组的(17.54±4.93)、(22.33±5.09)d,差异具有统计意义(P<0.05)。研究组并发症发生率6.7%低于对照组的22.2%,差异有统计学意义(P<0.05)。结论对胸腔积液患者采用胸腔穿刺置管术治疗,能够有效改善患者临床症状,排液更为彻底,具有良好的临床应用效果。Objective To study the clinical effect of pleural puncture and catheterization on pleural effusion.Methods A total of 90 patients with pleural effusion were randomly divided into research group and control group,with 45 cases in each group.The control group was treated with conventional transthoracic drainage,and the research group was treated with pleural puncture and catheterization.Both groups of patients were compared in terms of therapeutic effect,total amount of fluid drawn,time of complete absorption of pleural fluid,hospitalization time,recurrence,occurrence of complications,and the satisfaction with treatment.Results The total effective rate of 95.6%in the research group was significantly higher than 71.1%in the control gioup,and the difference was statistically significant(P<0.05).The total amount of fluid drawn(1190.46±221.61)ml of the research group was significantly less than(1601.88±232.4)ml of the control group,and time of complete absorption of pleural fluid(7.35±2.62)d and hospitalization time(12.30±4.32)d were significantly shorter than(17.54±4.93)and(22.33±5.09)d of the control group.All the difference was statistically significant(P<0.05).The complication rate of the research group was 6.67%,which was lower than 22.22%of the control group,and the difference was statistically significant(P<0.05).Conclusion Pleural puncture and catheterization has good clinical effect on patients with pleural effusion,and it can effectively improve the clinical symptoms of patients,and drain the fluid more thoroughly.

关 键 词：胸腔穿刺置管术 胸穿抽液 胸腔积液 

分 类 号：R561.3[医药卫生—呼吸系统]