摘要
目的分析并比较两种方法治疗慢性阻塞性肺病合并自发性气胸临床效果。方法选取2009年1月至2012年2月收治的慢性阻塞性肺病合并自发性气胸患者76例,采用随机数字表法分为硅胶管组和中心静脉置管组,每组各38例,分别采用硅胶管闭式引流和中心静脉置管闭式引流治疗;比较两组患者临床治疗总有效率、肺复张时间、创口愈合时间、住院时间及术后并发症发生情况等。结果中心静脉置管组患者临床治疗总有效率较硅胶管组高,组间比较差异有统计学意义(P<0.05);中心静脉置管组患者创口愈合时间及住院时间较硅胶管组少,组间比较差异有统计学意义(P<0.05);但两组患者肺复张时间组间比较差异无统计学意义(P>0.05);中心静脉置管组患者术后创口感染、皮下气肿及管腔堵塞等并发症发生率较硅胶管组少,组间比较差异有统计学意义(P<0.05)。结论中心静脉置管闭式胸腔引流治疗慢性阻塞性肺病合并自发性气胸临床效果确切,能够有效改善临床症状,促进伤口愈合,缩短病程,且术后并发症发生风险减低。
Objective To analyze and compare clinical effect of two Methods in the treatment of chronic obstructive pulmonary disease complicated with spontaneous pneumothorax. Methods From January 2012 to February 2009,76 patients of chronic obstructive pulmonary disease complicated with spontaneous pneumothorax were collected. Divided into silicone tube group and central venous catheter group by using the method of random digits table, 38 patients in each group by the therapy of the silicone tube closed drainage and central venous catheter closed drainage, respectively;Comparison of two groups of patients with the total effective rate of clinical treatment,pulmonary reex pansion time,wound healing time,hospitalization time, postoperative complications and so on. Results The total effective rate of clinical treatment in the central venous catheter group was higher than that of the silicone tube group with statistical significance（P〈0.05）;The wound healing time, hospitalization time in the central venous catheter group less than that of the silicone tube group, there was statistically significant difference between groups （P〈0.05） ;hut two groups of patients with pulmonary reexpansion time had no significant difference （P〉0.05） ;Central venous catheter group of patients with postoperative wound infection,subcutaneous emphysema and lumen blockage rate of complications less than silicone tube group,there was statistically significant difference between groups（P〈0.05）. Conclusion The exact therapeutic effect for the treatment of chronic obstructive pulmonary disease complicated with spontaneous pneumothorax by central venous catheterization closed thoracic drainage, can effectively improve the clinical symptoms, promoting wound healing, shorten the course of disease, and postoperative risk of complications can reduce.
出处
《检验医学与临床》
CAS
2013年第13期1660-1661,共2页
Laboratory Medicine and Clinic
关键词
慢性阻塞性肺疾病
自发性气胸
中心静脉置管
硅胶管
chronic obstructive pulmonary disease
spontaneous pneumothorax
central venous catheter
silica gel tube
