胸膜固定术后两种胸腔闭式引流方法的临床研究

Clinical Analysis of Two Methods of Closed Drainage of Thoracic Cavity after Pleurodesis

目的:探讨胸膜固定术后提高胸膜固定效果的胸腔引流方法及护理。方法:对108例经胸腔镜胸膜固定术治疗恶性胸腔积液患者随机分组,56例术后采用闭式引流加持续负压吸引,对比52例术后单纯闭式引流的疗效。结果:两组比较在拔管时间、排液量、形成包裹性胸腔积液及重度胸膜肥厚、完全缓解率方面有统计学意义。结论:闭式引流加持续负压吸引配合良好的护理是提高胸膜固定更为合理有效的放法。

Objective：Researched the way of thoracic drainage and its nursing which could improve the efficacy of the pleural fixation after pleurodesis.Methods： 108 cases of malignant pleural effusion patients treated by pleurodesis via thoracoscopy were randomized,56 patients with closed drainage and continuous negative pressure suction,enmpared the effection of the other 52 cases just with closed dralnage.Results：The average duration of thoracic tubing time,liquid discharge volume,the formation of encapsulated tberculous pleura/effusion,severe pleural thickening,and complete remission rate was statistically significant between the two groups.Conclusion ：The continuous closed drainage and negative pressure suction,with good nursing is more reasonable and effective way which could improve the efficacy ofpleural fixation after pleurodesis.