摘要
目的探讨在胸腔镜下肺叶切除术中用双腔胃管代替传统胸腔引流管的可行性及优势。方法回顾性分析自2015年7月-2016年4月胸腔镜下肺叶切除患者106例,随机分为实验组及对照组各53例,分别应用16F双腔胃管及28F传统胸腔引流管,对比术后留置16F双腔胃管与传统28F胸腔引流管患者的术后疼痛、引流效果、术后相关并发症等数据,从而判断胃管在引流方面的临床效果。结果实验组(胃管组)在术后第1 d、2 d、3 d疼痛程度、皮下气肿发生率、拔管后气胸的复发率、引流管口愈合时间及引流管口持续渗出时间均较对照组(传统胸腔引流管组)低(P<0.05),在引流效果、更换引流管率、胸腔感染率、带管及住院天数上均无显著差异(P>0.05)。结论双腔胃管代替传统胸腔引流管在胸腔镜肺叶切除临床应用中具有疼痛小、可有效防止管腔堵塞、引流效果满意、术后恢复快的优势。
Objective To investigate the feasibility and advantages of nasogastric tube application in thora- coscopic lobectomy instead of traditional chest drainage tube. Methods 106 patients operated with thoracoscopic lo- bectomy from July 2015 to April 2016 were selected, and they were randomly divided into the experimental group and control group, 53 cases in each group. 16F double-channel nasogastric tube and 28F traditional chest drainage tube were applied in the two groups, respectively. Postoperative pain, the effect of drainage, postoperative complications and other data of patients who were treated with 16F double-channel nasogastric tube and 28F traditional chest drain- age tube were compared, respectively, in order to determine the clinical effect of nasogastric tube in drainage aspect. Results The degree of pain, recurrence of pneumothorax after extubation, healing time of drainage entrance, subcu- taneous emphysema incidence rate, and exudation duration of drainage entrance 1,2, and 3 d after the surgery in the experimental group were lower than in the control group （P 〈 0. 05）. However, there was no significant difference in drainage effect, replacement rate of drainage tube, chest infection rate, tube holding and hospital stay between the two groups （P 〉 0. 05）. Conclusion The application of double-channel nasogastric tube instead of traditional chest drainage tube in thoracoscopic lobectomy has many advantages of minimal pain, lumen blocking prevention, satisfac- tory drainage effect and rapid recovery.
出处
《临床肺科杂志》
2017年第4期689-692,共4页
Journal of Clinical Pulmonary Medicine
关键词
双腔胃管
胸腔引流管
胸腔镜
double-channel nasogastric tube
chest drainage tube
thoracoscopy
