无痛胸腔穿刺及胸腔置管的探讨

Discuss of painless pleural puncture and placement of chest tube

目的探讨无痛胸腔穿刺及胸腔置管的可行性及实用性。方法选择2010年7月～2013年7月入住我院的胸腔积液患者65例。50例实施常规胸腔穿刺或胸腔置管。为常规治疗组。15例实施无痛胸腔穿刺或胸腔置管，为无痛治疗组。计算两组在操作过程中不良反应的发生率（A比率）。部分患者因发生不良反应而表示不愿意接受再次操作，计算不愿意接受再次操作的患者例数与总例数比率（B比率），比较两组间A比率及B比率。结果常规治疗组A比率为32％，B比率为30％；无痛治疗组A比率为0，B比率为0（P均〈0．05）。结论无痛胸腔穿刺及胸腔置管切实可行、安全。

Objective To discuss the feas!~＇ility and practicability of the painless pleural puncture and placement of chest tube. Methods A total of 65 patients who were in our hospital from July 2010 to July 2013 and suffered from pleura] effusion were selected. 50 cases constituted routine therapy group and received routine pleura] puncture and placement of chest tube. 15 cases constituted painless therapy group and received painless pleura] puncture and placement of chest tube. Counted the incidence rate of the adverse reaction which appeared during operation （A ratio）. Some patients showed reluctance to accept the operation again because adverse had occurred. Counted the ratio of the patients who showed reluctance to accept the operation again accounted for the total cases （B ratio）. Compared the A ratio and B ratio between the two groups. Results The A ratio of the conventional treatment group was 32%, and the B rate was 30%; The A ratio of the painless treatment group was 0,and the B rate was 0 （both P 〈 0.05）. Conclu- sion Painless pleural puncture and placement of chest tube is feasible, safe.