老年慢性阻塞性肺疾病合并自发性气胸的临床治疗观察

Observation of clinical treatment of senile chronic obstructive pulmonary disease combined with spontaneous pneumothorax

目的研究与探讨老年慢性阻塞性肺疾病合并自发性气胸的诊治方法以及效果。方法 90例慢性阻塞性肺疾病合并自发性气胸老年患者,随机分为对照组和治疗组,每组45例。对照组在常规治疗的基础上实施深静脉置管抽气疗法,治疗组在常规治疗的基础上给予胸腔负压引流疗法。对比两组患者治疗效果、疼痛程度、患者满意度及住院时间、肺复张情况。结果治疗组患者治疗效果、患者满意度及住院时间、肺复张情况均显著优于对照组,差异均具有统计学意义(P<0.05);两组患者疼痛程度比较差异无统计学意义(P>0.05)。结论胸腔负压引流法治疗老年慢性阻塞性肺疾病合并自发性气胸的临床效果显著,不会给患者带来太多的疼痛,可缩短住院时间、肺复张情况也有明显改善,得到患者的一致好评,值得推广至相关临床。

Objective To research and investigate treatment method and effect for senile chronic obstructive pulmonary disease combined with spontaneous pneumothorax. Methods A total of 90 patients of senile chronic obstructive pulmonary disease combined with spontaneous pneumothorax were randomly divided into control group and treatment group, with 45 cases in each group. The control group received additional deep vein catheterization air extraction to conventional therapy, and the treatment group received additional thoracic negative pressure drainage to conventional therapy. Curative effect, pain degree, patients satisfaction degree, hospital stay time and lung recruitment maneuvers status were compared between the two groups. Results The treatment group had obviously better curative effect, patients satisfaction degree, hospital stay time and lung recruitment maneuvers status than the Control group, and their differences all had statistical significance （P〈0.05）.There was no statistically significant difference of pain degree between the two groups （P〉O.05）. Conclusion Thoracic negative pressure drainage provides precisely clinical effect in treating senile chronic obstructive pulmonary disease combined with spontaneous pneumothorax, without great pain in patients. All patients give satisfactory reception of this method due to its remarkable decrease of hospital stay time and improvement in lung recruitment maneuvers status. This method is worth clinical promotion.