不同负压吸引在胸腔镜肺叶切除术后患者中的临床效果

Clinical efficacy of different negative pressure suction in patients with thoracoscopic lobectomy

目的探讨不同负压吸引在胸腔镜肺叶切除术后患者中的临床效果。方法选取52例胸腔镜肺叶切除术后患者为研究对象,术后根据负压吸引程度不同分为高负压吸引组与低负压吸引组。实验组22例术后采用高负压吸引,水封瓶波动-15^-20 cm H2O,对照组30例术后采用低负压吸引,水封瓶波动-8^-12 cm H2O。结果观察组术后第2~5天的引流量少于对照组,差异有统计学意义(P<0.05)。观察组的置管时间、住院时间、术后第4天的体温均低于对照组,差异有统计学意义(P<0.05)。结论高负压吸引能够减少胸腔镜肺叶切除术的引流量,缩短术后引流时间和住院时间,减轻患者的负担。

Objective To investigate effect of negative pressure suction in patients with tho- racoscopic lobectomy. Methods A total of 52 cases with thoracoseopic lobectomy from April to June 2015 were selected as the research objects, and were divided into high negative pressure suction group and low negative pressure suction group according to negative pressure attraction degree. Experimental group with 22 cases used postoperative high negative pressure suction, water seal bottle fluctuated from -15 ~ -20 cmH20, and 30 cases of the control group applied low negative pressure suction, water seal bottle fluctuated from - 8 - - 12 cmH20. Results Drainage amount after 2 days, 3 days, 4 days, and 5 days in the observation group was less than that of the control group, which showed a sig- nificant difference （P 〈 0.05 ）. Indwelling catheter time, hospitalization time, and the temperature of the fourth postoperative day in the observation group were lower than that in the control group （P 〈 0.05）. Conclusion High negative pressure suction can reduce the drainage amount, shorten postop- erative drainage time and hospitalization time, and reduce patients＇ economical burden.