16F胃管作为胸腔引流管对肺癌术后患者疼痛影响的对照研究

Effect of 16F gastric tube as thoracic drainage tube on pain relief in patients after lung cancer resection:A controlled trial

目的探讨16F胃管在肺癌术后加速康复中对患者疼痛的影响。方法连续选取我院2015年1月至2016年5月行肺癌根治术的118例患者,分为16F胃管组[16F组,60例,男30例、女30例,年龄41~73(52.13±7.83)岁]和28F引流管组[28F组,58例,男25例、女33例,年龄45~75(55.62±4.27)岁]。比较两组临床效果。结果两组在术后带管时间[(4.47±1.03)d vs.(4.24±1.16)d,P=0.473]、胸腔积液引流总量[(560.37±125.00)ml vs.(656.03±132.45)ml,P=0.478]、胸腔积气(5/60,4/58,P=0.439)、胸腔积液(6/60,3/58,P=0.522)、皮下气肿(3/60 vs.1/58,P=0.635)发生率差异均无统计学意义(P>0.05);16F组术后引流管口疼痛较28F组轻,差异有统计学意义(F=4 242.996,P<0.001),16F胃管组所使用止痛药次数也明显少于28F引流管组(12/60 vs.26/58,P=0.004)。结论 16F胃管在肺癌术后对胸腔引流、促进肺膨胀的效果与28F引流管相当,但16F胃管所引起的伤口疼痛明显小于28F引流管。

Objective To explore the effect of 16 F gastric tube on pain relief in postoperative lung cancer patients.Methods A total of 118 lung cancer patients were treated with radical resection of lung cancer in our hospital between January 2015 and May 2016.The patients were assigned into two groups： a 16 F gastric tube group（16 F group,60 patients,30 males and 30 females at age of 41-73（52.13±7.83） years and a 28 F drainage tube group（28 F group,58 patients,25 males and 33 females at age of 45-75（55.62±4.27） years.Clinical effects were compared between the two groups.Results There was no statistical difference in drainage time（4.47±1.03 d vs.4.24±1.16 d,P=0.473）,drainage amount（560.37±125.00 ml vs.656.03±132.45 ml,P=0.478）,incidences of pneumothorax（5/60 vs.2/58,P=0.439）,pleural effusion（6/60 vs.3/58,P=0.522）,and subcutaneous emphysema（3/60 vs.1/58,P=0.635） between the two groups（P〉0.05）.The pain caused by the drainage tube in the16 F group was less than that in the 28 F drainage tube group with a statistical difference（F=4 242.996,P〈0.001）.The frequency of taking analgesics in the 16 F group was significantly less than that in the 28 F group（12/60 vs.26/58,P〈0.001）.Conclusion The effects of draining pleural effusions and promoting lung recruitment are similar between the 16 F group and the 28 F group.However,the wound pain caused by 16 F gastric tube is significantly less than that by 28 F drainage tube.