套管针穿刺胸膜腔闭式引流术治疗大量胸腔积液临床疗效观察

摘要

Objective:To investigate the effect of trocar puncture of pleural cavity closed drainage for the treatment of pleural effusion .Method:68 patients with pleural effusion were selected as the research ob-ject, according to the different operation ,which were divided into observation group and control group , with 34 cases in each group .The observation group was received trocar puncture of pleural cavity closed drainage , while the control group was received the traditional pleural puncture drainage .The therapeutic index and the incidence of postoperative of two groups were compared .Result: In the observation group , the pleural effu-sion absorption time was (5.24±1.67) days, pleural thickening (4.93±2.52) mm, the difference was statis-tically significant compared with the control group ( P <0.05) ,while the total flow rate of the two groups had no significant difference (P >0.05).The chest tube indwelling time and hospitalization time of patients in observation group was significantly lower than the control group , and NRS score of observation group after 12 hours, 24 hours and 36 hours were statistically lower than the control group (P <0.05).At the same time, the total incidence of postoperative complications in observation group was 17.65%, while the postoperative complications incidence of the control group was 44.12%, the difference was statistically significant ( P <0. 05).Conclusion: Trocar puncture pleural closed drainage for the treatment of pleural effusion has definite therapeutic effect , which could speed up the recovery , relieve patients'pain and reduce the incidence of postoperative complications , which is worthy of clinical application .%目的：评估套管针穿刺胸膜腔闭式引流术治疗大量胸腔积液的疗效。方法：选取我院收治的68例胸腔积液患者作为研究对象，根据不同的手术方式分为观察组与对照组，每组各34例。其中观察组行套管针穿刺胸膜腔闭式引流术，对照组行传统反复胸腔穿刺引流术，比较两组患者的各治疗指标与术后并发症发生率。结果：观察组胸腔积液吸收时间为（5．24±1．67）d，胸膜增厚（4．93±2．52） mm，较对照组相比有显著改善，差异有统计学意义（P＜0．05），而两组总引流量无显著性差异（P＞0．05）。观察组患者胸引管留置时间与住院时间明显低于对照组，观察组患者术后12 h、24 h与36 h的NRS评分值均低于对照组，提示观察组患者术后疼痛程度较对照组相比有明显降低，差异有统计学意义（ P＜0．05）。同时，观察组术后并发症总发生率为17．65％；对照组术后并发症总发生率为44．12％，观察组患者术后并发症发生率明显低于对照组（ P＜0．05）。结论：套管针穿刺胸膜闭式引流术治疗大量胸腔积液疗效显著，可加快患者恢复，减轻患者痛苦，降低术后并发症发生率，值得临床推广。