中心静脉导管胸腔闭式引流术与改良胸腔闭式引流术治疗肺大疱自发性气胸患者的效果比较  

Comparison of effects of central venous catheter closed thoracic drainage and modified closed thoracic drainage in treatment of patients with pulmonary bullae spontaneous pneumothorax

作　　者：吴迪 沈兆坤 金昊 WU Di;SHEN Zhaokun;JIN Hao(Cardiothoracic Surgery of Panjin Liaoyou Baoshihua Hospital,Panjin 124010 Liaoning,China)

机构地区：[1]盘锦辽油宝石花医院心胸外科,辽宁盘锦124010

出　　处：《中国民康医学》2022年第24期133-135,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较中心静脉导管胸腔闭式引流术(CVC-TCD)与改良胸腔闭式引流术(M-TCD)治疗肺大疱自发性气胸患者的效果。方法:选取2015年12月至2020年12月该院收治的74例肺大疱自发性气胸患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各37例。对照组行M-TCD治疗,观察组行CVC-TCD治疗,比较两组置管时间、住院时间、切口愈合时间、肺复张时间、肺功能指标[第1秒用力呼气容积(FEV_(1))、通气储量]水平、视觉模拟评分法(VAS)评分和并发症发生率。结果:观察组住院时间、切口愈合时间、肺复张时间均短于对照组,差异有统计学意义(P<0.05);术后7 d,两组FEV_(1)和通气储量水平均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);术后12、24、48 h,观察组VAS评分低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为8.11%,明显低于对照组的27.03%,差异有统计学意义(P<0.05);两组置管时间比较,差异无统计学意义(P>0.05)。结论:CVC-TCD治疗肺大疱自发性气胸患者可提高肺功能指标水平,缩短住院时间、切口愈合时间和肺复张时间,以及降低VAS评分和并发症发生率,效果优于M-TCD治疗。Objective:To compare effects of central venous catheter closed thoracic drainage(CVC-TCD)and modified closed thoracic drainage(M-TCD)in treatment of patients with pulmonary bullous spontaneous pneumothorax.Methods:A prospective study was conducted on 74 patients with pulmonary bullae spontaneous pneumothorax admitted to this hospital from December 2015 to December 2020.They were divided into observation group and control group according to the random number table method,37 cases in each.The control group was treated with M-TCD,while the observation group was treated with CVC-TCD.The catheterization time,the hospitalization time,the incision healing time,the lung recruitment time,the lung function index levels[forced expiratory volume in 1 second(FEV_(1)),ventilatory reservation],the pain visual analogue scale(VAS)score,and the incidence of complications were compared between the two groups.Results:The hospitalization time,the incision healing time and the lung recruitment time in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).7 days after the surgery,the levels of FEV_(1) and ventilatory reservation in the two groups were higher than those before the surgery,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).12 h,24 h and 48 h after the surgery,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions of the observation group was 8.11%,which was lower than 27.03%in the control group,and the difference was statistically significant(P<0.05).However,there was no significant difference in catheterization time between the two groups(P>0.05).Conclusions:CVC-TCD in the treatment of the patients with pulmonary bullae spontaneous pneumothorax can improve the levels of lung function indexes,shorten the hospitalization time,the incision healing time an

关 键 词：肺大疱 自发性气胸 中心静脉导管胸腔闭式引流术 改良胸腔闭式引流术 肺功能 VAS评分 并发症 

分 类 号：R561.4[医药卫生—呼吸系统]