经皮穿刺引流术和体位引流应用于肺脓肿的临床疗效比较

Clinical effect observation of percutaneous drainage in treatment of pulmonary abscess

目的观察经皮穿刺引流术和体位引流治疗肺脓肿的临床效果。方法将38例肺脓肿患者随机分为治疗组(19例)与对照组(19例),治疗组患者采用经皮穿刺引流术治疗,对照组患者采用体位引流治疗,观察两组临床疗效。结果治疗组总有效率为84.2%,对照组总有效率为52.6%,两组比较差异有显著性(P<0.05)。治疗组患者在住院天数、咳嗽消失时间、术后体温恢复时间及并发症发生率方面均优于对照组(P均<0.05),差异具有显著性。结论经皮穿刺引流术治疗肺脓肿的总体疗效优于体位引流,可有效提高治愈率,简便易行,安全有效,值得临床推广应用。

Objective To observe the clinical efficacy ofpercutaneous puncture drainage and postural drainage in the treatment of pulmonary abscess. Method 64 patients of pulmonary abscess were randomly divided into control group （n = 19） and treatment group （n = 19）. Percutaneous drainage was used in treatment group and postural drainage was used in control group. The clinical efficacy was compared between the two groups. Result The total effective rate of percutaneous drainage was 84.2%. There was diference between two groups in the curative ratio （P 〈 0.05）. But the index such as the duration of hospital stay, the time of body temperature return to normal, cough and expectoration ceasing time in the percutaneous drainage group were superior to those of in the control group （Pall 〈 0.05）. The difference was statistically significant. Conclusion For the treatment of pulmonary abscess, pereutaneous drainage is mierotraumatie, safe, simple and reliable, compared with traditional postural drainage.