摘要
目的:研究导致胸腔穿刺致胸膜反应的原因,并制定针对性的预防策略。方法:对2018年1月至2022年5月在江门市结核病防治所住院且需要接受胸腔穿刺的324例患者的临床资料进行回顾性分析。根据患者是否发生胸膜反应将其分为分析组(有胸膜反应,n=19)和对照组(无胸膜反应,n=305),对导致患者发生胸膜反应的原因进行分析,并针对具体原因制定相应的预防对策。结果:单因素分析显示,两组患者的年龄(<44岁、44~59岁、>59岁)、体重(<50 kg、50~70 kg、>70 kg)、负面情绪(有、无)、胸腔穿刺次数(=1次、≥2次)相比,差异有统计学意义(P<0.05)。多因素logistic回归分析显示,年龄<44岁、体重<50 kg、存在负面情绪、首次接受胸腔穿刺是导致胸腔穿刺患者发生胸膜反应的独立危险因素。结论:导致胸腔穿刺患者发生胸膜反应的独立危险因素主要包括年龄<44岁、体重<50 kg、存在负面情绪和首次接受胸腔穿刺。临床医生应对上述情况予以关注。
Objective:To study the causes of pleural reaction caused by thoracic puncture and to develop targeted prevention strategies.Methods:A retrospective analysis was conducted on the clinical data of 324 patients who were hospitalized in Jiangmen Tuberculosis Prevention and Control Institute from January 2018 to May 2022 and required thoracic puncture.Patients were divided into the analysis group(with pleural reaction,n=19)and the control group(without pleural reaction,n=305)according to whether they had pleural reaction.The causes of pleural reaction were analyzed,and corresponding preventive measures were formulated according to the specific causes.Results:Univariate analysis showed that there were statistically significant differences in age(<44 years old,44-59 years old,>59 years old),body weight(<50 kg,50-70 kg,>70 kg),negative emotion(with and without),and the number of thoracic puncture(=1,≥2)between the two groups(P<0.05).Multivariate logistic regression analysis showed that age<44 years old,body weight<50 kg,negative emotion and first pleural puncture were independent risk factors for pleural reaction in patients with pleural puncture.Conclusions:Independent risk factors for pleural reaction in patients with thoracentesis include age<44 years,body weight<50 kg,presence of negative emotions,and first-time thoracente sis.Clinicians should pay attention to these situations.
作者
戚霓虹
张慧民
陈华
QI Nihong;ZHANG Huimin;CHEN Hua(Inpatient Department of Jiangmen Institute of Tuberculosis Prevention an d Control,Jiangmen 529000,China)
关键词
胸腔穿刺
胸膜反应
影响因素
预防策略
pleural puncture
Pleural reaction
Influencing factors
Preve ntion strategy
