肺癌术后闭式胸腔引流量对拔管时机的影响研究

The Impact of Closed Chest Drainage on the Timing of Extubation After Lung Cancer Surgery

目的:观察肺癌术后行闭式胸腔引流术中,不同胸腔引流量时,拔管对患者的影响,探究适用于尽早拔管的引流量。方法:将肺癌术后行闭式胸腔引流术的患者随机分组,并严格按照纳入和出组标准分为成两组,对照组:引流量<100ml拔管组(60例);以及实验组:引流量100ml^300ml拔管组(55例)。记录对照组和实验组间带管时间,术后因带管引起相关并发症的例数,镇痛药用量以及术后住院天数等指标,并进行统计学分析。结果:实验组、及对照组两组患者的术后平均带管时间、术后住院天数及术后平均镇痛药用量差异有统计学意义(P<0.05或P<0.01);实验组、对照组两组拔管后出现相关并发症的例数差异无统计学意义(P>0.05)。结论:肺癌患者开胸手术后闭式胸腔引流量100ml^300ml时,尽快拔除引流管会促进患者的快速康复且安全。

Objective：To observe the postoperative lung closed chest drainage, different chest drainage, the impact on the patient extubation, explore for early extubation drainage.Methods：Postoperative lung cancer patients with closed thoracic drainage randomized, and in strict accordance with the standard set of inclusion and divided into two groups, the control group： drainage volume 〈100ml extubation group （60 cases）;as well as the experimental group：drainage 100ml^300ml extubation group （55 cases）.Record control group and experimental group with a tube time, postoperative complications associated with pipe caused the number of cases, analgesics, and postoperative hospital stay and other indicators, and analyzed statistically.Results：The experimental group and the control group, two groups of patients with postoperative average tube time, postoperative hospital stay and postoperative analgesics average difference was statistically significant （P〈0.05 or P〈0.01）;experimental group, control groups related complications after extubation number of cases the difference was not statistically significant （P〉0.05）.Conclusion：Lung cancer patients after thoracotomy closed chest drainage 100ml^300ml, the drainage tubes were removed as soon as possible will promote the rapid recovery of patients and safe.