90例老年慢性阻塞性肺疾病合并自发性气胸治疗体会

Treatment Experience of 90 Patients with Chronic Obstructive Pulmonary Disease and Spontaneous Pneumothorax

目的探讨老年慢性阻塞性肺疾病伴自发性气胸的临床有效治疗方法.方法选择2010年12月至2013年12月期间在昆明市第一人民医院干疗科确诊的90例慢性阻塞性肺疾病合并自发性气胸老年患者,随机性分成观察组(胸腔负压引流治疗)与对照组(胸膜腔穿刺抽气法).结果观察组45例患者的治疗总有效率是88.89%大于对照组的48.98%,差异有统计学意义(P<0.05).结论慢性阻塞性肺疾病合并自发性气胸患者胸腔负压引流治疗疗效确切,值得临床进一步推广.

Objective To investigate the chnical effective treatment for chronic obstructive pulmonary disease （COPD） combined with spontaneous pneumothorax （overlap syndrome） Methods 90 patients with COPD and spontaneous pneumothorax in our hospital from December 2000 to December 2012 were selected, and they were randomly divided into observation group by the treatment of negative pressure drainage in chest and control group by the treatment of puncture extraction method in pleural cavity. Results Total effective rate of the observation group （88.89%） was higher than that of the control group （48.98%） , with statistical significance （P 〈 0.05） Conclusion The curative effect of negative pressure drainage in chest is definite in the patients with COPD and spontaneous pneumothorax. So, the treatment is worth popularizing widely.