食管癌术后两种胸腔闭式引流量下不同拔管时机的临床效果比较

Clinical Effect Comparison on the Different Time of Extubation of Two Kinds of Thoracic Closed Drainage after Esophageal Carcinoma Surgery

目的：通过观察在食管癌术后不同胸腔引流量条件下拔除胸腔闭式引流管对患者的影响,探索适用于尽早拔管的引流量。方法：将食管癌术后留置胸腔闭式引流管的患者随机分组,按照纳入和排除标准将其分为两组,对照组55例：引流量〈100 m L拔管;试验组52例：引流量100~200 m L拔管。记录两组术后住院天数、胸腔引流管带管天数、疼痛评分、并发症（气胸、肺不张、胸腔积液、管口延迟愈合、管口渗液）后进行对比分析。结果：试验组患者的术后住院天数、胸腔引流管带管天数均明显短于对照组,疼痛评分明显低于对照组,差异均有统计学意义（P〈0.05）。两组术后并发症发生率比较差异无统计学意义（P〉0.05）。结论：食管癌患者开胸术后胸腔闭式引流,早期拔管安全且更有利于患者恢复。

Objective：To observe the impact on the extubation of closed thoracic drainage tube after esophageal carcinoma surgery,in order to explore the drainage volume for early extubation as soon as possible.Method：According to the inclusion and exclusion criteria,patients with closed thoracic drainage tube after esophageal carcinoma surgery were randomly divided into the control group for 55 cases and the experimental group for 52 cases,the control group was pulled out of the tube when drainage volume 100 m L,the experimental group was pulled out of the tube when drainage volume 100-200 m L.The postoperative hospital stay,tube time of intrathoracic drain,pain score,complications（including pneumothorax,pulmonary atelectasis,pleural effusion,nozzle delayed recovery,trachea exudate） of the two groups were recorded,and then compared and analyzed.Result：The postoperative hospital stay and tube time of intrathoracic drain in the experimental group were significantly shorter than those of the control group,and the pain score of the experimental group was significantly lower than that of the control group,the differences were statistically significant（P〈0.05）,there was no statistically significant difference in the postoperative complication rate between the two groups（P〉0.05）.Conclusion：For esophageal carcinoma patients with thoracic closed drainage after thoracotomy,early extubation is safty and more conducive to the recovery of patients.