胸腔置管引流术与胸腔穿刺抽液术治疗结核性胸腔积液的效果对比  

Comparison of Effect of Pleural Catheter Drainage and Pleural Puncture Drainage in the Treatment of Tuberculous Pleural Effusion

作　　者：王芳 Wang Fang(Department of Respiratory and Critical Care Medicine,Xiangyang Nanzhang County People's Hospital,Xiangyang 441700,Hubei Province,China)

机构地区：[1]襄阳市南漳县人民医院呼吸与危重症医学科,湖北襄阳441700

出　　处：《中外医药研究》2024年第18期48-50,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:对比胸腔置管引流术与胸腔穿刺抽液术治疗结核性胸腔积液的效果。方法:选取2020年1月—2023年6月襄阳市南漳县人民医院收治的结核性胸腔积液患者60例作为研究对象,以随机数字表法分为对照组(胸腔穿刺抽液术)与试验组(胸腔置管引流术),各30例。比较两组治疗效果、临床指标、炎性指标、不良反应发生率、积液量改善及胸膜粘连情况。结果:试验组总有效率高于对照组,差异有统计学意义(P=0.030);试验组完成单次操作时间、退热时间、住院时间、胸闷气促缓解时间、胸腔积液消退时间短于对照组,治疗结束时胸腔积液深度小于对照组,差异有统计学意义(P<0.001);治疗后,两组降钙素原、C反应蛋白水平均低于治疗前,试验组低于对照组,差异有统计学意义(P<0.05);试验组不良反应发生率低于对照组,差异有统计学意义(P=0.031);出院后3、6个月,试验组积液量少于对照组,胸膜粘连发生率低于对照组,差异有统计学意义(P<0.001)。结论:胸腔置管引流术治疗结核性胸腔积液的效果优于胸腔穿刺抽液术,有利于缩短手术操作时间和术后症状改善时间,降低炎性因子水平与积液量,改善胸膜粘连情况,且安全性较高。Objective:To compare the effect of pleural catheter drainage and pleural puncture drainage for tuberculous pleural effusion.Methods:Sixty patients with tuberculous pleural effusion treated in Xiangyang Nanzhang County People's Hospital from January 2020 to June 2023 were selected as the study objects.Random number table method was used to divide the control group(pleural puncture drainage)and the experimental group(pleural catheter drainage),thirty cases each.The therapeutic effect,clinical indexes,inflammatory indexes,incidence of adverse reactions,improvement of fluid accumulation and pleural adhesion were compared between the two groups.Results:The total effective rate of experimental group was higher than that of control group,the difference was statistically significant(P=0.030);the time to complete a single operation,the time to reduce fever,the time to stay in hospital,the time to relieve chest tightness and shortness of breath,and the time to resolve pleural effusion in experimental group were shorter than those in control group,and the depth of pleural effusion at the end of treatment was shorter than that in control group,the difference was statistically significant(P<0.001);after treatment,the levels of procalcitonin and C-reactive protein in two groups were lower than before treatment,and those in experimental group were lower than those in control group,the difference was statistically significant(P<0.05);the incidence of adverse reactions in experimental group was lower than that in control group,and the difference was statistically significant(P=0.031);at 3 and 6 months after discharge,the effusion volume of experimental group was lower than that of control group,and the incidence of pleural adhesion was lower than that of control group,the difference was statistically significant(P<0.001).Conclusion:The effect of pleural catheter drainage in the treatment of tuberculous pleural effusion is better than that of pleural puncture drainage,which is conducive to shortening the operation time and postope

关 键 词：胸腔置管引流术 胸腔穿刺抽液术 结核性胸腔积液 

分 类 号：R561[医药卫生—呼吸系统] R52[医药卫生—内科学]