不同管径引流管用于胸腔镜肺癌根治术后的疗效分析  

Improvement of efficacy,pain,and hospital stay with 16-Fr and 28-Fr drainage tubes in thoracoscopic radical surgery for lung cancer

作　　者：路明雷[1] 张世敏 沈兰妹 王红艳 李为朋[1] 刘林林 Lu Minglei;Zhang Shimin;Shen Lanmei(Chest Surgery,Langfang People′s Hospital,Langfang 065000,China)

机构地区：[1]廊坊市人民医院胸外科,065000 [2]廊坊市人民医院肛肠科,065000 [3]廊坊市人民医院门诊办公室,065000 [4]廊坊市人民医院肿瘤科,065000 [5]廊坊市人民医院供应室,065000

出　　处：《中华保健医学杂志》2023年第6期642-645,共4页Chinese Journal of Health Care and Medicine

基　　金：河北省医学科学研究课题计划项目(20232055)。

摘　　要：目的探究不同管径引流管对胸腔镜肺癌根治术疗效、疼痛以及对住院时间的改善情况。方法选取廊坊市人民医院2020年8月~2022年7月进行胸腔镜肺癌根治术的患者86例,按照两组患者按术后放置的引流管不同分为观察组(16#引流管)、常规组(28#引流管)。比较两组患者治疗效果;比较两组患者术中出血量、术后引流管拔除时间和住院时间;比较两组患者术后视觉模拟量表(VAS)评分;比较两组患者术后并发症情况;比较两组患者术后生活质量情况。结果观察组的有效率(93.02%)明显高于常规组(48.84%),差异有统计学意义(χ^(2)=20.358,P<0.050)。观察组的出血量(110.22±4.69)ml明显低于常规组、引流管拔除时间(3.19±0.85)d和术后住院时间(8.96±1.12)d低于常规组,差异有统计学意义(t=20.433、6.83、7.011,P=0.000)。术后观察组第1和7天VAS疼痛评分明显小于常规组,差异有统计学意义(P=0.000);观察组患者肺不张、心律失常等并发症发生率(27.91%)远高于常规组,差异有统计学意义(P<0.05);两组患者预后生活质量方面差异无统计学意义(P=0.086)。结论16#引流管是胸腔镜肺癌根治术后选择的较好选择,其对疗效、疼痛、住院时间都有明显的改善,但是存在并发症相对较高的情况,而28#引流管的并发症相对较低,两种管径的选择在临床上需要根据患者客观情况进行合理选择。Objective To investigate the improvement of efficacy,pain,and hospital stay with 16-Fr and 28-Fr drainage tubes in thoracoscopic radical surgery for lung cancer.Methods A total of 86 patients who underwent thoracoscopic radical surgery for lung cancer from August 2020 to July 2022 were included.The patients were divided into an observation group(16-Fr drainage tube)and a conventional group(28-Fr drainage tube)based on the type of postoperative drainage tube placement.The study aimed to explore the improvement of efficacy,pain,and hospital stay with 16-Fr and 28-Fr drainage tubes.Results The effective rate in the observation group was significantly higher than that in the conventional group(93.02%vs.48.84%),with a statistically significant difference(χ^(2)=20.358,P<0.050).The observation group showed a lower amount of postoperative bleeding(110.22±4.69)ml,shorter drainage tube removal time(3.19±0.85)days,and shorter postoperative hospital stay(8.96±1.12)days compared to the conventional group(t=20.433,6.83,7.011,P=0.000).The VAS pain scores on the first and seventh days postoperatively were significantly lower in the observation group than in the conventional group(P=0.000).The incidence of complications such as lung atelectasis and arrhythmias in the observation group(27.91%)was significantly higher than that in the conventional group(P<0.05).There was no statistically significant difference in postoperative quality of life between the two groups(P=0.086).Conclusion The 16-Fr drainage tube is a preferable choice for postoperative thoracoscopic radical surgery,as it improves efficacy,reduces pain,and shortens hospital stay.However,it is associated with a relatively higher incidence of complications.On the other hand,the 28-Fr drainage tube has a lower incidence of complications.The selection between the two tube sizes should be based on the objective condition of the patient in clinical practice.

关 键 词：引流管 胸腔镜肺癌根治术 疗效 疼痛 住院时间 

分 类 号：R734[医药卫生—肿瘤]