摘要
目的探讨不同肋间胸腔闭式引流术治疗胸腔积液的效果,以供临床参考。方法选取本院2017年5月~2018年8月收治的72例胸腔积液患者。根据不同的治疗方法,将其分为对照组和观察组。对照组:在第6和第7肋间实施胸腔闭式引流术。观察组:在第5肋间实施胸腔闭式引流术。观察比较两组患者的治疗效果、住院时间、胸水吸收时间、胸腔引流管留置时间、疼痛评分。结果对照组的治疗总有效率(72.22%)低于观察组(91.67%),两组实施比较差异有统计学意义(P <0.05)。观察组患者的住院时间、胸水吸收时间以及胸腔引流管置留所用时间与对照组开展比较,差异无统计学意义(P> 0.05)。观察组患者的术后8、16以及32h疼痛评分低于对照组,差异有统计学意义(P <0.05)。结论在第5肋间实施胸腔闭式引流术对胸腔积液患者开展治疗,效果理想,可降低机体疼痛,减少不良症状的发生,还获得患者与家属的认可,值得在临床中推广。
Objective To explore the curative effect of different intercostal closed thoracic drainage in treatment of pleural effusion to provide clinical reference. Methods 72 patients with pleural effusion who were admitted and treated in our hospital form May 2017 to August 2018 were selected.According to different treatment methods,they were divided into the control group and the observation group.The control group underwent closed thoracic drainage in the 6 th and 7 th intercostal space while and the observation group underwent closed thoracic drainage in the 5 th intercostal space.The curative effects, hospital stay,pleural effusion absorption time,indwelling time of chest drainage tube and pain score were compared between the two groups. Results The total effective rate of the control group was 72.22%,lower than that of the observation group(91.67%).The difference between the two groups was significant(P < 0.05).There was no statistically significant difference in hospital stay,pleural effusion absorption time and indwelling time of chest drainage tube between the observation group and the control group(P > 0.05).The pain scores of the observation group were lower than those of the control group at 8 h,16 h and 32 h after operation.The difference was statistically significant(P < 0.05). Conclusion Closed thoracic drainage in the 5 th intercostal space for the treatment of pleural effusion has ideal curative effects.It can reduce the body's pain,reduce the occurrence of adverse symptoms and obtain the recognition of patients and their families,which is worth promoting in the clinical practice.
引文
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