摘要
目的探讨老年肺气肿并发自发性气胸抗感染治疗的重要性。方法选取2008--2011年需进行闭式引流手术的老年肺气肿合并自发性气胸患者64例，随机分为实验组（A组）和对照组（B组）各32例，A组患者在进行相应的闭式引流术后，预防性给予抗生素，而B组患者则给予注射氯化钠溶液进行对照。比较两组患者引流管放置小于l周内、1～2周及2周以上时细菌的检出率：并比较两组患者在1周内、1～2周及2周以上时间段的感染例数；同时比较两组患者综合治疗的效果。结果A组患者在引流管放置时间小于1周、1～2周、2周以上时细菌检出率均小于B组，差异有统计学意义（P〈0．05）：感染例数也小于同时间段B组患者，差异有统计学意义（P〈0．05）；A组综合治疗效果优于B组，差异有统计学意义（P〈0．05）。结论对老年肺气肿并发自发性气胸患者应重视抗感染治疗，采取如预防性给予抗生素控制感染等方法才能取得更好的疗效。
Objective To investigate the importance of anti-infective therapy in senile emphysema complicating sponta- neous pneumothorax. Methods 64 cases of senile emphysema complicating spontaneous pneumothorax necding ch）sed drainage surgery in our hospital from 2008 to 2011 were chosen and randomly divided into the cxperimcntal group （A） and the control group （B）, 32 cases in each group. The group A was given with preventative antibiotics after the corresponding closed drainage, while the group B was given with of sodium chloride injection for control. The bacterial detection rates in the drainage tube place- ment 〈 1-2 weeks, 1-2 weeks and 〉 2 weeks were compared between the two groups. The infective cases within 1 week, 1-2 weeks and 〉 2 weeks were compared between the two groups. At the same time, the effects of comprehensive therapy were com- pared hetween the two groups. Results The bacterial detection rate of the group A in the drainage time 〈 1 week, 1-2 weeks, 〉 2 weeks was less than that of group B （P〈0.05）. And the contemporary infection cases were less than those of the group B （P〈0.05）. The effetcs of comprehensive treatment in the group A was also superior to the group B （P〈0.05）. Conclusion Attaching the im- portance to anti-infective therapy and taking the methods such as preventive antibiotics for controlling infection can achieve better efficacy in the treatment of elderly emphysema complicating spontaneous pneumothorax.
出处
《现代医药卫生》
2012年第19期2893-2894,共2页
Journal of Modern Medicine & Health
关键词
肺气肿
气胸
引流术
抗感染药/治疗应用
治疗结果
Pulmonary emphysema
Pneumothorax
Drainage
Anti-infective agents/therapeutic use
Treatment outcome
