肝脓肿穿刺置管引流术的临床疗效探析  

Clinical Effect of Puncture Catheter Drainage for Hepatic Abscess

作　　者：鲁五九 李应念 陈莉莉 LU Wujiu;LI Yingnian;CHEN Lili(Zhouning County Hospital,Ningde,Fujian Province,355400 China;Putian First Hospital,Putian,Fujian Prov-ince,351199 China)

机构地区：[1]周宁县医院,福建宁德355400 [2]莆田市第一医院,福建莆田351199

出　　处：《中外医疗》2024年第10期71-74,共4页China & Foreign Medical Treatment

摘　　要：目的研究对肝脓肿患者应用穿刺置管引流术治疗的效果。方法随机选取2021年10月—2022年10月周宁县医院收治的76例肝脓肿患者为研究对象,应用随机数表法分为对照组(38例,切开置管引流术)和观察组(38例,超声引导下经皮肝脏穿刺置管引流术),对比两组治疗效果。结果观察组退热时间为(3.23±0.72)d,拔管时间为(10.24±1.12)d,住院时间为(13.28±1.32)d,显著短于对照组[退热时间(5.86±0.90)d,拔管时间(13.15±1.26)d,住院时间(16.97±2.14)d],差异有统计学意义(t=14.066、10.641、9.047,P均<0.05)。同时观察组炎症指标、生活质量表、视觉模拟评分、并发症发生率均优于对照组,差异有统计学意义(P均<0.05)。结论对肝脓肿患者采取超声设备辅助下经皮肝脏穿刺置管引流术,经治疗后患者术后康复速度更快,快速缓解炎症反应,减轻患者的痛苦,且并发症更少,安全有效。Objective To study the effect of puncture catheter drainage on patients with hepatic abscess.Methods A total of 76 patients with liver abscess in Zhouning County Hospital from October 2021 to October 2022 were randomly selected as the study objects and divided into control group(38 cases with incision and drainage)and observation group(38 cases with ultrasound-guided percutaneous liver puncture and drainage)by random number table method.The therapeutic effect of the two groups was compared.Results The antipyretic time(3.23±0.72)d,extubation time(10.24±1.12)d,and hospital stay(13.28±1.32)d in the observation group were significantly shorter than those in the control group[antipyretic time(5.86±0.90)d,extubation time(13.15±1.26)d,hospital stay(16.97±2.14)d],and the differences were statistically significant(t=14.066,10.641,9.047,all P<0.05).The inflammation index,36-item Short-form,Visual Analogue Scale and incidence of complications in observation group were better than those in control group,and the differences were statistically significant(all P<0.05).Conclusion For patients with liver abscess,percutaneous liver puncture with the assistance of ultrasound equipment can be used,and after treatment,the postoperative recovery speed of the patients is faster,the inflammation reaction is quickly alleviated,the pain of the patients is reduced,and the complications are less,which is safe and effective.

关 键 词：肝脓肿 超声引导 经皮穿刺置管引流术 炎症因子 康复时间 

分 类 号：R5[医药卫生—内科学]