经皮胸腔置入细导管负压吸引治疗气胸临床疗效分析

The effection of continuous negative pressure suction drainage associate with central venous catheter in the treatment of spontaneous pneumothorax

目的:探讨不同的干预条件在经皮胸腔穿刺置入细导管治疗自发性气胸的临床疗效和安全性。方法:把入选的非张力性自发性气胸病例120例,随机分成3组:治疗组、对照组、空白对照组,全部经皮胸腔穿刺置入细导管,分别给予3种不同的干预条件。结果:3组治愈率依次为100%、87.5%、55%,3组相比:胸膜腔气体消失时间(2.83±1.38)d,(8.55±1.88)d,(10.95±2.14)d,胸膜反应(10%、1.25%、1.25%),住院费用(947.63±145.15)元,(1089.28±238.31)元,(1286.58±301.73)元,焦虑程度(42.05±2.88),(28.18±5.57),(50.23±3.15),其差异均有统计学意义(P<0.05)。结论:中心静脉导管胸腔置入细导管持续负压吸引治疗气胸操作简单,创伤小,疗效确切,花费少,值得临床推广。

Objective： Evaluation the efficacy and safety in different intervention conditions on the central venous catheter Thoracic closed drainage in the treatment of pneumothorax.Methods： 120 cases of non-tension pneumothorax were randomly divided into 3 groups.They are all treated with persistent thoracic closed drainage by using micro-operation through central venous catheter.There groups were given three different intervention conditions.Results： The cure rate of the three groups were 100%,87.5% and 55%.Compared with three groups： the disappearance time of the pleural cavity of gas（2.83±1.38） d,（8.55±1.88） d,（10.95±2.14） d,pleural reaction（10%,1.25%,1.25%）,hospital costs $（947.63±145.15）,$（1 089.28 ± 238.31）,$（1 286.58±301.73）,score of anxiety 42.05±2.88,28.18±5.57,50.23±3.15,all the data is analysed by SPSS13.0,all difference were significant（P0.05）.Conclusion： The method by using central venous catheter plus lasting vacuum aspiration to treat spontaneous pneumothorax is worthy of clinical promotion for its easy manipulating,less trauma,more effective and lower cost.