持续负压引流在外穿性结核性脓胸术后应用的效果

Effect of continuous negative pressure drainage in the postoperative recovery of tuberculous empyema necessitates

目的观察持续负压引流在外穿性结核性脓胸术后的应用效果。方法将68例外穿性结核性脓胸患者分为接受持续负压引流34例为观察组和接受引流管被动引流34例为对照组。对比2组术后引流量、带管时间、术后疼痛评分、术后住院时间、肺复张情况、切口愈合不良发生率。结果观察组带管时间和术后住院时间少短于对照组,差异有统计学意义(P<0.05);2组术后引流量和疼痛评分差异无统计学意义(P>0.05);观察组切口愈合不良发生率低于对照组,差异有统计学意义(P<0.05)。结论在严格掌握注意事项的前提下,外穿性结核性脓胸术后给予持续负压引流有利于患者术后的恢复。

Objective To explore the effect of continuous negative pressure drainage in the postoperative recovery of tuberculous empyema necessitatis.Methods Sixty-eight patients with tuberculous empyema necessitatis were researched,34 patients treated by continuous negative pressure drainage were in the observation group,and the other 34 patients treated by passive drainage were in the control group.The amount of post-operation drainage,drainage duration,postoperative visual analogue scale（VAS） score,postoperative hospital stay,lung recruitment,and the rate of poor incision healing were compared between the two groups.Results The drainage duration and the postoperative hospital stay of the observation group was shorter than the control group,the difference was statistically significant（P〈0.05）.The amount of post-operation drainage and the postoperative VAS score of the two groups were not significantly different（P〉0.05）.The rate of poor incision healing of the observation group was lower than the control group,the difference was statistically significant（P〈0.05）.Conclusion On the basis of strict indications,continuous negative pressure drainage showed many positive effects in postoperative recovery of tuberculous empyema necessitates.