改良式胸腔闭式引流术在呼吸内科疾病中的应用研究

Study on Modified Thoracic Closed Drainage in Application of Respiratory Medicine Diseases

目的探讨改良式胸腔闭式引流术在呼吸内科疾病临床中的应用效果。方法选取我院收治的114例呼吸内科疾病患者分为两组各57例,对照组采用传统胸腔穿刺抽液治疗,观察组采用改良式胸腔闭式引流术治疗。对比两组患者的临床治疗效果,记录患者治疗后血气指标、呼吸频率、心率情况。结果观察组患者的总有效率为96.49%,明显高于对照组的78.95%;观察组治疗后Pa O2水平显著高于对照组,Pa CO2水平显著低于对照组;观察组治疗后呼吸频率、心率均明显低于对照组;观察组治疗后肺功能改善情况明显优于对照组;所有差异均具有统计学意义(P<0.05)。结论在呼吸内科疾病的临床治疗过程中,改良式胸腔闭式引流术可有效改善患者的症状,安全性高,值得临床推广。

Objective To study the modified thoracic cavity closed drainage in respiratory medicine medical disease in the clinical application effect. Methods 114 cases of patients with respiratory medicine diseases in our hospital were equally divided into two groups.The control group was given traditional thoracentesis, the observation group was given modified thoracic closed drainage. The clinical effect,blood gas index, respiratory rate, heart rate in two groups after treatment were recorded and compared. Results The total effective rate in observation group was 96.49%, significantly higher than 78.95% in control group, the PaO2 level was significantly higher than that in control group, the PaCO_2 level was significantly lower than that in control group, the respiratory rate and heart rate were significantly lower than those in control group, the improvement of lung function was significantly better than that in control group, all the difference was statistical（P〈0.05）. Conclusions In the treatment of respiratory medicine diseases, modified thoracic closed drainage can effectively improve the patients＇ symptoms, with high safety, which is worthy of clinical promotion.