粗管径硅胶管结合滑石粉治疗自发性气胸的效果观察

Effect Observation of Large Diameter Silicon Tube Combined with Talcum Powder for Primary Spontaneous Pneumothorax

目的:探讨粗管径硅胶管结合滑石粉治疗自发性气胸的临床效果。方法:将80例患者按随机数字表法分为两组,每组各40例,其中观察组使用粗管径硅胶管行胸腔闭式引流,对照组则使用中心静脉导管进行治疗。比较两组患者治疗的相关时间,并统计并发症情况。结果:观察组穿刺成功时间短于对照组(P<0.05),患者症状改善时间快于对照组(P<0.05),且导管留置时间短于对照组(P<0.05),出现继发性气胸、脱管及肺水肿的比率均显著低于对照组(P<0.05);观察组出现胸痛、导管堵塞及3年内复发的比率显著低于对照组(P<0.05)。结论:粗硅胶管结合滑石粉治疗及预防自发性气胸相对于细管径的中心静脉导管,其治疗效果更确切,并发症少,是一种安全可靠的治疗方法。

Objective： To explore the clinical effect of large diameter silicon tube combined with talcum powder for primary spontaneous pneumothorax. Method： 80 cases were divided into two groups according to random number table method, each group had 40 cases, the observation group were used large diameter silicon tube and the control group were used central venous catheter patients, then the related time of the clinical effect and complications were compared with the two groups. Result： In the observation group, puncture time was shorter than the control group （ P〈0.05 ）, the patients symptoms improved time was faster than the control group （ P〈0.05 ）, the catheter indwelling time was shorter than the control group （ P〈0.05 ）, secondary pneumothorax and tube pulmonary edema ratio were lower than the control group （ P〈0.05 ）, chest pain ratio, conduit clogging and recurrence within 3 years were lower than the control group. Conclusion： The thick silica relative compare with the central venous catheter diameter tube for primary spontaneous pneumothorax is more precise and it has fewer complications, so it is a safe and reliable treatment method.