摘要
目的探讨中心静脉导管胸腔闭式引流在ICU气胸患者中的治疗效果。方法选取2014年1月至2015年12月我院ICU突发气胸患者93例为研究对象,随机分为研究组(47例)和常规组(46例),研究组采用中心静脉导管胸腔闭式引流治疗,常规组采用硅胶导管胸腔闭式引流治疗,比较两组患者的临床疗效。结果研究组患者的呼吸困难缓解时间、气胸闭合时间、引流时间、住院时间均显著短于常规组,治疗总有效率显著高于常规组,皮下气肿、感染、引流管不稳定发生率均显著低于常规组(P<0.05)。结论中心静脉导管胸腔闭式引流在ICU气胸患者中应用可缩短治疗时间,提高治疗效果,降低并发症发生率。
Objective To explore the therapeutic effect of central venous catheter-thoracic close drainage for ICU patients with pneumothorax. Methods 93 cases of ICU patients with unexpected pneumothorax in our hospital fi：om January 2014 to December 2015 were selected and randomly divided into two groups. 47 cases of study group were treated with central venous catheter-thoracic close drainage, while 46 cases of routine group were treated with silicon catheter-thoracic close drainage. The clinical therapeutic effects of two groups were compared. Results The remission time of dyspnea, closing time of pneumothorax, drainage time and hospitalization time of study group were all significantly shorter than those of routine group, the total effective rate was significantly higher than that of routine group, and the incidences of subcutaneous emphysema, infection and unstable drainage tube were all significantly lower than those of routine group （all P 〈0.05）. Conclusions Central venous catheter-thoracic close drainage for ICU patients with pneumothorax can shorten the therapeutic time, improve therapeutic effect and reduce the incidence of complications.
出处
《临床医学工程》
2017年第6期795-796,共2页
Clinical Medicine & Engineering
