不同肋间胸腔闭式引流治疗胸腔积液的疗效分析

Analysis of Different Intercostal Closed Thoracic Drainage Treatment of Pleural Effusion

目的探讨不同肋间胸腔闭式引流治疗胸腔积液的疗效。方法收集信丰县人民医院2015年1月—2016年1月86例胸腔积液患者,按照入院顺序分成观察组与对照组,观察组经第5肋间实施胸腔闭式引流术,对照组经第6、7肋间实施胸腔闭式引流术,对比两组患者术后疼痛评分、临床疗效、胸水完全吸收时间、引流管留置时间、住院时间及并发症情况。结果观察组术后疼痛评分均低于对照组(P<0.05);观察组总有效率高于对照组(P<0.05);两组胸水完全吸收时间、胸腔引流管留置时间、住院时间对比无显著差异(P>0.05);两组并发症发生率对比无显著差异(P>0.05)。结论第5肋间的胸腔闭式引流术在胸腔积液的临床治疗中具有更好的效果,可缓解术后疼痛,值得临床应用。

Objective To explore the different intercostal closed thoracic drainage treatment of pleural effusion. Methods In our hospital from January 2015 — 2016 year in January 86 cases of pleural effusion patients were divided into observation group and control group, the observation group implemented through the fifth intercostal closed thoracic drainage,the control group was sixth,the implementation of the 7 intercostal closed thoracic drainage,compared two groups of patients with postoperative pain score,clinical efficacy,pleural effusion completely the absorption time,drainage tube indwelling time,hospitalization time and complications. Results The pain score of the patients in the observation group were lower than the control group（P〈0. 05）; the total efficiency of the observation group is higher than that of control group（P〈0. 05）; the two group of pleural effusion completely absorbed time,chest drainage time and hospitalization time compared with no significant difference（P〉 0. 05）; the two group complication rate compared to no significant difference（P〉 0. 05）. Conclusion It is better effect of the fifth intercostal closed thoracic drainage in pleural effusion in clinical treatment,can relieve postoperative pain,it is worthy of clinical application.