负压胸腔引流对血气胸伴胸部外伤患者手术指标与并发症的影响  

The effect of negative pressure thoracic drainage on surgical indicators and complications in patients with hemopneumothorax and chest trauma

作　　者：邓享 DENG Xiang(Department of Thoracic Surgery,Hu'nan Provincial Thoracic Hospital,Changsha,Hu'nan,410600,China)

机构地区：[1]湖南省胸科医院胸外科,湖南长沙410600

出　　处：《当代医学》2023年第18期42-44,共3页Contemporary Medicine

摘　　要：目的探究负压胸腔引流对血气胸伴胸部外伤患者手术指标与并发症的影响。方法选取2018年3月至2020年3月湖南省胸科医院胸外科收治的216例血气胸伴胸部外伤患者作为研究对象,按照随机数字表法分为两组,各108例。对照组行胸腔闭式引流治疗,观察组行负压胸腔引流治疗,比较两组围手术期指标、临床疗效、并发症发生情况及视觉模拟评分法(VAS)评分。结果观察组出血时间、肺复张时间及住院时间均短于对照组,引流量少于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率为97.22%,高于对照组的87.04%,差异有统计学意义(P<0.05)。两组VAS评分组间、时间、交互比较差异有统计学意义(P<0.05);两组治疗后各时间点VAS评分均低于前一时间点,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为2.78%,低于对照组的13.89%,差异有统计学意义(P<0.05)。结论负压胸腔引流治疗血气胸伴胸部外伤患者,可有效减少引流量,缩短出血时间,术后并发症少,且疼痛程度较轻,值得临床推广应用。Objective To investigate the effect of negative pressure thoracic drainage on surgical indicators and complications in patients with hemopneumothorax and chest trauma.Methods 216 patients with hemopneumothorax and chest trauma admitted to the Thoracic Surgery department of Hu'nan Provincial Thoracic Hospital from March 2018 to March 2020 were selected as the study subjects,they were divided into the two groups according to the random number table method,with 108 cases in each group.The control group received thoracic closed drainage treatment,while the observation group received negative pressure thoracic drainage treatment,the perioperative indicators,clinical efficacy,incidence of complications,and visual analogue scale(VAS)scores were compared between the two groups.Results The bleeding time,lung recruitment time,and hospitalization time in the observation group were shorter than those in the control group,and the drainage volume was less than that in the control group,and the differences were statistically significant(P<0.05).The total effective rate in the observation group was 97.22%,which was higher than 87.04%in the control group,and the difference was statistically significant(P<0.05).There was statistically significant difference in VAS scores between the two groups of group,time points and interaction(P<0.05);the VAS scores at each time point after treatment in the two groups were lower than the previous time point,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 2.78%,which was lower than 13.89%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of negative pressure thoracic drainage in the treatment of hemopneumothorax with chest trauma can effectively reduce drainage flow,shorten bleeding time,reduce postoperative complications,and have mild pain,which is worthy of clinical promotion and application.

关 键 词：负压胸腔引流 胸腔闭式引流 胸部外伤 血气胸 手术指标 并发症 

分 类 号：R655[医药卫生—外科学]