肺叶切除术后使用不同管径胸腔引流管的临床效果比较
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摘要
目的探讨肺叶切除术后采用不同管径胸腔引流管的临床效果。方法选取2015年1月至2018年12月我院收治的104例肺叶切除术后胸腔引流患者,随机分为试验组(52例, 16F细管引流)和对照组(52例, 32F粗管引流),比较两组的带管时间、导管故障情况、胸腔积液再穿刺、带管NRS评分与镇痛药物使用情况。结果两组的平均带管时间、导管故障发生率、胸腔积液再穿刺率比较均无统计学差异(P>0.05)。术后第2～4天,试验组的带管NRS评分低于对照组(P <0.05)。带管期间,试验组的止痛药物使用率为17.31%,低于对照组的44.23%(P <0.05)。结论 16F细径导管与32F粗径导管用于肺叶切除术后胸腔引流均可行,其中前者不延长带管时间,不增加导管故障及再穿刺率,效果确切,而且患者的带管疼痛较轻,易于耐受,临床应用更具有优势。
Objective To explore the clinical effect of different diameter chest drainage tubes after lobectomy. Methods 104 cases of patients with chest drainage after lobectomy in our hospital from January 2015 to February 2018 were selected and randomly divided into experimental group(52 cases, 16 F thin tube drainage) and control group(52 cases, 32 F thick tube drainage). The intubation time, catheter failure, pleural effusion re-puncture, intubation NRS score and analgesic drug use of two groups were compared. Results No statistical difference was found in the average intubation time, incidence of catheter failure and pleural effusion re-puncture rate between the two groups(P >0.05). 2 to 4 days after surgery, the intubation NRS scores of the experimental group were lower than those of the control group(P <0.05). The use rate of analgesic drugs of the experimental group was 17.31%, lower than 44.23% of the control group(P <0.05).Conclusions 16 F thin tube and 32 F thick tube can be used for chest drainage after lobectomy. The former does not extend the intubation time, and does not increase the catheter failure and re-puncture rate, with exact effect, less intubation pain and easy toleration, which has more advantages in clinical application.
Objective To explore the clinical effect of different diameter chest drainage tubes after lobectomy. Methods 104 cases of patients with chest drainage after lobectomy in our hospital from January 2015 to February 2018 were selected and randomly divided into experimental group(52 cases, 16 F thin tube drainage) and control group(52 cases, 32 F thick tube drainage). The intubation time, catheter failure, pleural effusion re-puncture, intubation NRS score and analgesic drug use of two groups were compared. Results No statistical difference was found in the average intubation time, incidence of catheter failure and pleural effusion re-puncture rate between the two groups(P >0.05). 2 to 4 days after surgery, the intubation NRS scores of the experimental group were lower than those of the control group(P <0.05). The use rate of analgesic drugs of the experimental group was 17.31%, lower than 44.23% of the control group(P <0.05).Conclusions 16 F thin tube and 32 F thick tube can be used for chest drainage after lobectomy. The former does not extend the intubation time, and does not increase the catheter failure and re-puncture rate, with exact effect, less intubation pain and easy toleration, which has more advantages in clinical application.
引文
[1]胡思远,魏育涛,朱志军,等.胸腔镜下肺叶切除术后放置16F胃管胸腔闭式引流效果观察[J].山东医药, 2018, 58(12):91-93.
[2]张正华,吴杲,徐美青.单孔胸腔镜结合负压球细管引流在肺大疱切除术快速康复中的应用[J].中华胸心血管外科杂志, 2017, 33(3):183-184.
[3] Numico G, Cristofano A, Occelli M, et al. Prolonged drainage and in trapericardial bleomycin administration for cardiac tamponade secondary to cancer-related pericardial effusion[J]. Medicine(Baltimore), 2016, 95(15):e3273.
[4]杨梅,樊骏,周红霞,等.胸腔镜肺癌肺叶切除术后16F较28F胸腔引流管应用的临床优势[J].中国肺癌杂志, 2015, 18(8):512-517.
[5]熊洁,任小平,魏声泓,等.内科胸腔镜对老年患者渗出性胸腔积液的诊断价值及安全性[J].临床肺科杂志, 2017, 22(1):11-14.
[6]刘守知,张富全. 16F引流管在肺癌患者胸腔镜肺叶切除术后胸腔引流中的应用效果[J].新乡医学院学报, 2018, 35(10):918-920, 924.
[7]马俊杰,高德军.不同管径胸腔引流管在肺叶切除术后的临床应用比较[J/CD].中华胸部外科杂志(电子版), 2016, 3(3):156-159.
[8]马丹,杨梅,樊骏,等.胸腔镜肺叶切除术后引流管管径对患者舒适度影响的前瞻性队列研究[J].中国胸心血管外科临床杂志, 2015,22(10):928-931.
[2]张正华,吴杲,徐美青.单孔胸腔镜结合负压球细管引流在肺大疱切除术快速康复中的应用[J].中华胸心血管外科杂志, 2017, 33(3):183-184.
[3] Numico G, Cristofano A, Occelli M, et al. Prolonged drainage and in trapericardial bleomycin administration for cardiac tamponade secondary to cancer-related pericardial effusion[J]. Medicine(Baltimore), 2016, 95(15):e3273.
[4]杨梅,樊骏,周红霞,等.胸腔镜肺癌肺叶切除术后16F较28F胸腔引流管应用的临床优势[J].中国肺癌杂志, 2015, 18(8):512-517.
[5]熊洁,任小平,魏声泓,等.内科胸腔镜对老年患者渗出性胸腔积液的诊断价值及安全性[J].临床肺科杂志, 2017, 22(1):11-14.
[6]刘守知,张富全. 16F引流管在肺癌患者胸腔镜肺叶切除术后胸腔引流中的应用效果[J].新乡医学院学报, 2018, 35(10):918-920, 924.
[7]马俊杰,高德军.不同管径胸腔引流管在肺叶切除术后的临床应用比较[J/CD].中华胸部外科杂志(电子版), 2016, 3(3):156-159.
[8]马丹,杨梅,樊骏,等.胸腔镜肺叶切除术后引流管管径对患者舒适度影响的前瞻性队列研究[J].中国胸心血管外科临床杂志, 2015,22(10):928-931.