同时置入中心静脉导管引流原发性非小细胞肺癌导致恶性胸腔积液的效果观察及护理

Effects of simultaneous bilateral central venous intubation on chest drainage for bilateral malignant pleural effusion induced by primary non-small lung cancer

目的探讨同时置入中心静脉导管引流原发性非小细胞肺癌导致恶性胸腔积液的效果,并总结护理要点。方法将本院收治的65例原发性非小细胞肺癌导致恶性胸腔积液患者随机分为治疗组(同时置入胸腔双侧引流管进行胸腔积液引流)和对照组(分期胸腔置入引流管进行胸腔积液引流)。比较两组患者治疗有效率、呼吸困难缓解时间、置管时间、住院时间及不良反应情况。结果两组患者置管后呼吸困难缓解时间、住院天数、置管时间比较,均P<0.05,差异具有统计学意义,治疗组患者呼吸困难缓解时间、住院天数、置管时间明显短于对照组;两组患者治疗效果及置管后不良反应发生情况比较,均P>0.05,差异无统计学意义。结论同时置入中心静脉导管引流原发性非小细胞肺癌导致恶性胸腔积液,可缩短患者呼吸困难缓解时间、置管时间、住院时间,应用过程无增加副反应。

Objective To observe the effects of simultaneous bilateral central venous intubation on chest drainage for bilateral malignant pleural effusion induced by primary non-small lung cancer and summarize the nursing measures. Methods Totally 65 patients with bilateral malignant pleural effusion were randomized into experiment group and control group. In the former group, chest drainage was done using bilateral central venous intubation and in the latter, unilateral chest drainage was used. The two groups were compared in terms of effectiveness rate, time for intubation, remission duration and hospitalization. Results The time for remission duration, hospital stay and time for intubation were all significantly shorter than those of the control group（all P〈0.05）. There were no significances in curative effect and adverse reactions between the two groups. Conclusion Chest drainage using simultaneous bilateral intubation for bilateral malignant pleural effusion induced by primary non-small lung cancer can be effective in shortening the time for remission, intubation and hospitalization. But it causes no more adverse reaction.