危重胸腔积液患者采用中心静脉导管置管引流治疗对应激及并发症的影响

Impacts of central venous catheters and drainage treatment on stress and complications of patients with critical pleural effusion

目的探讨危重胸腔积液患者采用中心静脉导管置管引流治疗对应激及并发症的影响。方法选取2011年8月至2013年8月收治的70例危重胸腔积液患者,依据随机数字表法将其分为两组,观察组(35例)和对照组(35例)。对照组患者给予普通硅胶管穿刺治疗,观察组患者给予中心静脉导管置管引流治疗。观察比较两组胸腔积液引流量、置管时间、APACHEⅡ评分、胸腔积液定量及生化检查结果;同时比较两组术后并发症情况。结果除观察组患者治疗后的C反应蛋白水平比对照组低(P<0.05)外,其余上述各项目指标组间比较差异均无显著性(P>0.05);另外,观察组患者的并发症发生率11.4%(4/35)明显比对照组22.9%(8/35)低(P<0.05)。结论危重胸腔积液患者采用中心静脉导管置管引流治疗具有较轻的应激反应和较少的并发症,值得推广。

Objective To investigate the impacts of central venous catheters and drainage treatment on stress and complications of patients with pleural effusion. Methods Sixty cases of patients with critical pleural effusion from August 2011 to August 2013 were selected into the present study. These patients were divided into two groups according to a random number table,namely the observation group（ 35 cases） and control group（ 35 cases）. The control group were given ordinary silicone tube puncture treatment,while the observation group were given centers intravenous catheter drainage catheter therapy. Two groups were observed some indicators,including pleural effusion drainage,catheterization time,APACHE Ⅱ score,pleural effusion and quantitative biochemical test results. And postoperative complications were compared. Results The differences of pleural effusion drainage catheter and time between the two groups were not significant（ P〈0. 05）. The CRP levels after treatment of the observation group was significantly lower than the control group（ P〈0. 05）. The complication rate of the observation group 11. 4%（ 4 /35） was significantly lower than the control group 22. 9%（ 8 /35）（ P〈0. 05）. Conclusion Central venous catheters and drainage has lighter stress response and less complications in the treatment of patients with critical pleural effusion,so is worthy of promotion.