持续负压吸引联合小导管治疗COPD合并自发性气胸

Continuous negative pressure suction combined with small catheter for COPD patients with spontaneous pneumothorax

目的观察持续负压联合小导管治疗慢性阻塞性肺病(COPD)合并自发性气胸的临床效果。方法随机选取2010年6月~2011年6月于我院接受诊治的62例慢性阻塞性肺病患者,经临床确诊合并自发性气胸,根据随机分组原则,对照组30例患者采取传统引流方式治疗,观察组32例患者采取持续负压联合小导管引流治疗,观察比较两组的临床疗效和并发症。结果观察组患者接受治疗后治愈率为90.63%,对照组为96.67%,两组比较,差异无统计学意义(P>0.05);观察组的伤口愈合时间为(2.5±0.3)d,对照组为(6.8±2.2)d,两组比较差异显著(P<0.05);观察组伤口疼痛和皮下气肿的发生率明显低于对照组,差异有统计学意义(P<0.05)。结论持续负压联合小导管对慢性阻塞性肺疾病合并自发性气胸的临床效果显著,减少了并发症的发生,值得临床推广应用。

Objective To analyze the efficacy of continuous negative pressure suction combined with small catheter for COPD patients with spontaneous pneumothorax. Methods Sixty-two cases COPD patients were randomly selected. Through clinical diagnosis, the patients all were with spontaneous pneumothorax. According to the principle of randomi- zation, conventional drainage treatment method was taken to 30 patients of control group. Continuous negative pressure combined with small catheter drainage treatment was applied to 32 patients of observation group. The clinical efficacy and complications of both groups were observed and compared. Results After treatment, the cure rate of observation patients was 90. 63o/6, and 96.67 ~ was the control. There was no significant difference between the two groups （P〉0. 05）. The wound healing time of observation group and the control group were （2.5：J：0.3） d and （6.8J：2.2） d. There was a sig- nificant difference between the two groups （P^0.05）. The incidence of complications including wound pain and subcuta- neous emphysema in the observation group was significantly lower than that of the control group, and the difference had statistically significance （P〈0.05） . Conclusion Continuous negative pressure suction combined with small catheter has an obvious efficacy for COPD patients with spontaneous pneumothorax. It reduces the incidence of complications,.