微创胸腔内闭式引流技术治疗创伤性气胸
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摘要
目的探讨微创胸腔内闭式引流技术治疗创伤性气胸的临床疗效。方法将我院收治的126例创伤性气胸患者作为本次研究的观察对象,按照治疗方法的不同平均分为两组,观察组63例,对照组63例。对照组给予患者传统胸腔内闭式引流技术治疗,观察组给予患者微创胸腔内闭式引流技术治疗,对比两组患者的治疗总有效率、手术各项指标、术后VAS评分及并发症发生率。结果观察组患者的治疗总有效率明显优于对照组,差异具有统计学意义(P <0.05)。观察组患者肺复张时间与对照组差异较小(P> 0.05)。观察组患者穿刺时间、拔管时间、术后VAS评分以及并发症发生率均低于对照组,差异具有统计学意义(P <0.05)。结论对创伤性气胸患者实施微创胸腔内闭式引流技术治疗,创伤小,可减轻患者的痛苦,且并发症少,安全性高,临床治疗效果显著,可临床推广应用。
Objective To explore the clinical effect of minimally invasive thoracic closed drainage in the treatment of traumatic pneumothorax.Methods 126 patients with traumatic pneumothorax admitted to our hospital were divided into two groups according to different treatment methods.63 cases in the observation group and 63 cases in the control group. The control group was treated with traditional closed thoracic drainage, while the observation group was treated with minimally invasive closed thoracic drainage. The total effective rate, surgical indicators, VAS score and complication rate were compared between the two groups. Results The total effective rate of the observation group was significantly better than that of the control group(P < 0.05). There was no significant difference in lung recruitment time between the observation group and the control group(P > 0.05). The puncture time, extubation time, VAS score and incidence of complications in the observation group were lower than those in the control group, with statistical significance(P < 0.05). Conclusion The implementation of minimally invasive thoracic closed drainage technique in the treatment of traumatic pneumothorax, small trauma, can relieve the pain of patients, with less complications and high safety, clinical treatment effect, clinical application.
Objective To explore the clinical effect of minimally invasive thoracic closed drainage in the treatment of traumatic pneumothorax.Methods 126 patients with traumatic pneumothorax admitted to our hospital were divided into two groups according to different treatment methods.63 cases in the observation group and 63 cases in the control group. The control group was treated with traditional closed thoracic drainage, while the observation group was treated with minimally invasive closed thoracic drainage. The total effective rate, surgical indicators, VAS score and complication rate were compared between the two groups. Results The total effective rate of the observation group was significantly better than that of the control group(P < 0.05). There was no significant difference in lung recruitment time between the observation group and the control group(P > 0.05). The puncture time, extubation time, VAS score and incidence of complications in the observation group were lower than those in the control group, with statistical significance(P < 0.05). Conclusion The implementation of minimally invasive thoracic closed drainage technique in the treatment of traumatic pneumothorax, small trauma, can relieve the pain of patients, with less complications and high safety, clinical treatment effect, clinical application.
引文
[1]何勇.微创胸腔内闭式引流技术治疗创伤性气胸的临床效果观察[J].健康必读,2018(10):90.
[2]覃仕欢,韦恺,黄元鲁.微创胸腔内闭式引流技术治疗创伤性气胸的临床研究[J].中外医疗,2018,37(8):89-91.
[3]赵伍忠,贺跃.微创胸腔内闭式引流技术治疗创伤性气胸的临床效果观察[J].吉林医学,2017,38(4):686-687.
[4]张仁.静脉套管针简易胸腔闭式引流装置应用于创伤性气胸早期治疗中的效果分析[J].基层医学论坛,2017,21(24):3301-3302.
[5]代斯日古楞,佟哈达,乌云敖日格乐.创伤性气胸急救绿色通道联合简易胸腔闭式引流体会[J].健康大视野,2018(7):41-42.
[6]刘永京.绿色通道联合简易胸腔闭式引流装置在创伤性气胸患者急救中的应用[J].内科急危重症杂志,2018,24(6):498-500.
[7]李轶峰.微创胸腔闭式引流治疗创伤性气胸的疗效观察[J].首都食品与医药,2018,25(18):9.
[8]郭鸿超.微创胸腔闭式引流治疗创伤性气胸效果观察[J].深圳中西医结合杂志,2018,28(1):100-101.
[9]郑九珍.微创胸腔闭式引流治疗自发性气胸的护理体会[J].现代诊断与治疗,2018,29(18):3018-3020.
[10]叶诚.微创胸腔闭式引流术与传统胸腔闭式引流手术治疗自发性气胸的疗效[J].世界临床医学,2016,10(11):56.
[11]杨旺盛.微创胸腔闭式引流治疗创伤性气胸的疗效观察[J].黑龙江医药,2015,28(1):177-179.
[12]张永波.创伤性气胸行微创胸腔闭式引流治疗的效果观察[J].医学信息,2015(z2):271-272.
[13]高莉芳,吕雁,窦体敏.微创胸腔闭式引流治疗液气胸患者的临床效果[J].医疗装备,2017,30(23):126-127.
[14]向军,何玲,刘艳,等.微创胸腔闭式引流治疗自发性气胸的疗效分析[J].现代临床医学,2017,43(4):268-270.
[15]许赓.微创导管穿刺与传统胸腔闭式引流治疗自发性气胸疗效比较[J].中外医疗,2017,36(17):10-12.
[16]张东旭.微创持续负压胸腔闭式引流治疗自发性气胸的临床观察[J].中国医药指南,2017,15(14):58-59.
[17]王佳林,李泽亚,冯维忠.微创置入单向阀引流导管与传统胸腔闭式引流术治疗原发性自发性气胸疗效对比[J].中国现代医药杂志,2016,18(10):57-58.
[18]黄浩.微创胸腔闭式引流术治疗自发性气胸临床观察[J].医学理论与实践,2015,28(16):2173-2175.
[19]马柯,周燕.急救绿色通道联合简易胸腔闭式引流在创伤性气胸患者急救中的应用效果[J].卫生职业教育,2017,35(7):141-143.
[20]陈凤忠,张江.微创胸腔内闭式引流技术治疗创伤性气胸的临床效果观察[J].临床合理用药杂志,2015,8(28):11-12.
[2]覃仕欢,韦恺,黄元鲁.微创胸腔内闭式引流技术治疗创伤性气胸的临床研究[J].中外医疗,2018,37(8):89-91.
[3]赵伍忠,贺跃.微创胸腔内闭式引流技术治疗创伤性气胸的临床效果观察[J].吉林医学,2017,38(4):686-687.
[4]张仁.静脉套管针简易胸腔闭式引流装置应用于创伤性气胸早期治疗中的效果分析[J].基层医学论坛,2017,21(24):3301-3302.
[5]代斯日古楞,佟哈达,乌云敖日格乐.创伤性气胸急救绿色通道联合简易胸腔闭式引流体会[J].健康大视野,2018(7):41-42.
[6]刘永京.绿色通道联合简易胸腔闭式引流装置在创伤性气胸患者急救中的应用[J].内科急危重症杂志,2018,24(6):498-500.
[7]李轶峰.微创胸腔闭式引流治疗创伤性气胸的疗效观察[J].首都食品与医药,2018,25(18):9.
[8]郭鸿超.微创胸腔闭式引流治疗创伤性气胸效果观察[J].深圳中西医结合杂志,2018,28(1):100-101.
[9]郑九珍.微创胸腔闭式引流治疗自发性气胸的护理体会[J].现代诊断与治疗,2018,29(18):3018-3020.
[10]叶诚.微创胸腔闭式引流术与传统胸腔闭式引流手术治疗自发性气胸的疗效[J].世界临床医学,2016,10(11):56.
[11]杨旺盛.微创胸腔闭式引流治疗创伤性气胸的疗效观察[J].黑龙江医药,2015,28(1):177-179.
[12]张永波.创伤性气胸行微创胸腔闭式引流治疗的效果观察[J].医学信息,2015(z2):271-272.
[13]高莉芳,吕雁,窦体敏.微创胸腔闭式引流治疗液气胸患者的临床效果[J].医疗装备,2017,30(23):126-127.
[14]向军,何玲,刘艳,等.微创胸腔闭式引流治疗自发性气胸的疗效分析[J].现代临床医学,2017,43(4):268-270.
[15]许赓.微创导管穿刺与传统胸腔闭式引流治疗自发性气胸疗效比较[J].中外医疗,2017,36(17):10-12.
[16]张东旭.微创持续负压胸腔闭式引流治疗自发性气胸的临床观察[J].中国医药指南,2017,15(14):58-59.
[17]王佳林,李泽亚,冯维忠.微创置入单向阀引流导管与传统胸腔闭式引流术治疗原发性自发性气胸疗效对比[J].中国现代医药杂志,2016,18(10):57-58.
[18]黄浩.微创胸腔闭式引流术治疗自发性气胸临床观察[J].医学理论与实践,2015,28(16):2173-2175.
[19]马柯,周燕.急救绿色通道联合简易胸腔闭式引流在创伤性气胸患者急救中的应用效果[J].卫生职业教育,2017,35(7):141-143.
[20]陈凤忠,张江.微创胸腔内闭式引流技术治疗创伤性气胸的临床效果观察[J].临床合理用药杂志,2015,8(28):11-12.