胃肠减压引流在实施标准化治疗方案结核性胸膜炎患者中的应用效果  

Effect of Gastrointestinal Decompression and Drainage in Patients with Tuberculous Pleurisy with Standardized Treatment Plan

作　　者：熊英领 张华华 许军莲 曾忠 曾美芳 黄慧玲 XIONG Yingling;ZHANG Huahua;XU Junlian;ZENG Zhong;ZENG Meifang;HUANG Huiling(The Fifth People’s Hospital of Ganzhou,Jiangxi Province,Ganzhou 341000,China;不详)

机构地区：[1]江西省赣州市第五人民医院,江西赣州341000

出　　处：《中国医学创新》2022年第24期112-115,共4页Medical Innovation of China

基　　金：赣州市科技计划项目(GZ2019ZSF221)。

摘　　要：目的:探讨胃肠减压引流在实施标准化治疗方案结核性胸膜炎患者中的应用效果。方法:选取2019年12月-2020年12月赣州市第五人民医院诊治的160例结核性胸膜炎患者,采用随机数字表法将其分为对照组(80例)和观察组(80例)。所有患者均施行3HREZ/6HR的标准化治疗方案,对照组于此基础上加以常规胸膜腔穿刺引流,观察组则运用胃肠减压引流。对比两组临床疗效、恢复情况、肺功能、胸膜粘连发生情况。结果:观察组治疗总有效率为96.25%,高于对照组的87.50%(P<0.05);观察组胸腔积液消失时间、呼吸困难缓解时间、退热时间、住院时间均短于对照组,胸膜粘连发生率低于对照组,差异均有统计学意义(P<0.05);两组胸腔积液抽取前的用力肺活量(FVC)、第1秒用力呼气量(FEV_(1))相比,差异均无统计学意义(P>0.05);观察组胸腔积液抽取结束后的FVC、FEV_(1)均高于对照组,差异均有统计学意义(P<0.05)。结论:胃肠减压引流在实施标准化治疗方案结核性胸膜炎患者中可获得确切效果,能够促进各项临床症状改善,提升肺功能,降低胸膜粘连发生风险,利于患者快速恢复,安全可行。Objective:To explore the application of gastrointestinal decompression and drainage in patients with tuberculous pleurisy with standardized treatment plan.Method:A total of 160 patients with tuberculous pleurisy treated in the Fifth People’s Hospital of Ganzhou from December 2019 to December 2020 were selected and divided into the control group(80 cases)and the observation group(80 cases)by a random number table method.All patients were treated with a standardized treatment plan of 3HREZ/6HR.On this basis,the control group was treated with routine pleural puncture and drainage,and the observation group was treated with gastrointestinal decompression and drainage.The clinical efficacy,recovery,lung function and occurrence of pleural adhesions were compared between the two groups.Result:The total effective rate of treatment in the observation group was 96.25%,which was higher than 87.50%in the control group(P<0.05);the disappearance time of pleural effusion,relief time of dyspnea,antipyretic time and hospitalization time in the observation group were shorter than those in the control group,and the incidence of pleural adhesion was lower than that in the control group(P<0.05);there were no significant differences in forced vital capacity(FVC)and forced expiratory volume in the first second(FEV_(1))between the two groups before pleural effusion extraction(P>0.05),FVC and FEV_(1) in the observation group after pleural effusion extraction were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Gastrointestinal decompression and drainage can achieve definite results in the treatment of patients with tuberculous pleurisy.It can promote the improvement of various clinical symptoms,improve lung function,reduce the risk of pleural adhesions and facilitate rapid recovery of patients.It is safe and feasible.

关 键 词：结核性胸膜炎 胃肠减压引流 肺功能 胸膜粘连 

分 类 号：R521.7[医药卫生—内科学]