自发性气胸治疗分析

Spontaneous Pneumothorax Treated Analysis

目的探讨胸腔闭式引流治疗自发性气胸的有效性与安全性。方法方便选取2007年1月—2016年5月该院收治的60例自发性气胸患者为研究对象,随机将入选病例均分为两组。实验组30例,患者行胸腔闭式引流治疗,持续漏气者胸膜腔固定;对照组30例,患者行胸膜腔穿刺抽气治疗。观察两组治疗有效率和并发症发生率。结果实验组患者治愈率(73.33%)和治疗总有效率(93.33%)均显著高于对照组治愈率(40.0%)和治疗总有效率(83.33%),实验组并发症发生率(3.33%)显著低于对照组(16.67%),差异均有统计学意义(P<0.05)。结论以胸腔闭式引流治疗自发性气胸可有效改善患者临床症状,帮助恢复肺功能,且并发症发生率低,治疗安全有效,值得临床推广。

Objective To explore the effectiveness and safety of thoracic closed drainage in the treatment of spontaneous pneumothorax. Methods Convenient selection 60 cases of spontaneous pneumothorax patients admitted to our hospital from January 2007 to May 2016 in our hospital were selected as the study subjects, and two groups were randomly divided into groups. In the experimental group, 30 patients were treated with closed thoracic drainage, and 30 patients in the control group were treated with pleural cavity puncture, and the control group was treated with pleural cavity puncture. Observe the incidence rate of two groups of treatment. Results Patients in the experimental group, the cure rate（73.33%） and treatment the total effective rate（93.33%） were significantly higher than that of the control group, the cure rate（40.0%） and total treatment efficiency（83.33%）, the incidence rate of complications in experimental group（3.33%） was significantly lower than that of the control group（16.67%）, and the difference is statistically significant（P〈 0.05）.Conclusion Thoracic closed drainage in the treatment of spontaneous pneumothorax can effectively improve the clinical symptoms of patients to help restore pulmonary function, and the incidence of complications is low, the treatment is safe and effective, it is worthy of clinical promotion.