目的 探讨膨肺吸痰法在胸腔镜下肺大疱切除术患者中的应用及临床效果.方法 将82例胸腔镜下肺大疱切除术患者随机分为对照和观察组各41倒,分别采用常规吸痰(对照组)及膨肺吸痰(观察组)进行对比性研究.结果 观察组的用力肺活量、第一秒用力呼气量(FEV1)、气道压力、气道阻力优于对照组,差异有显著性(P＜0.01)；观察组的氧分压(PaO2)及血氧饱和度(SaO2)优于对照组,差异有显著性；观察组的术后并发症明显少于对照组.结论 膨肺吸痰法优于常规吸痰法.膨肺吸痰能改善肺功能及低氧状况,促进肺复张,减少肺部感染,缩短胸引管留置时间,减少住院天数.%Objective To discuss the application of Turgor lung sputum aspiration method in lung bullous resection under vats. Methods 82 cases of lung bullous resection under thoracoscope were randomly divided into control group and the observation group. The control group was treated with conventional sputum suction and the observation group with bentonite lung sucking phlegm. Results The forced vital capacity, forced expiratory volume in one second (FEVi), airway pressure and airway resistance of observed group were better than that of the control group (P<0. 01). The partial pressure of oxygen (PaO2) and oxygen saturation ( SaO2) of observation group were higher than that of control group. bThe postoperative complications of observation group were significantly less than that of the control group. Conclusion Turgor lung sucking phlegm can improve lung function and low oxygen status, promote lung recruitment, reduce lung infection, shorten chest lead tube lien time and reduce hospitalization days.
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