数字化引流系统在胸腔镜肺叶切除术后患者康复中的应用

Application of digital drainage system in rehabilitation of patients after VATS lobectomy

目的有效缩短引流持续时间和住院总时间在加速康复外科(fast track surgery,FTS)中尤为重要。数字负压吸引装置具有数字化、可视化、负压稳定等多种优势。本文旨在探索数字负压吸引器在胸腔镜肺叶切除术后患者康复治疗中的效果。方法选择解放军总医院2017年5月至10月胸腔镜肺叶切除术后患者61例作为研究对象,随机分为试验组与对照组,对比术后胸腔闭式引流带管时间的差异。结果试验组术后带管时间较短[(3. 93±0. 884) d vs(5. 47±1. 191) d,P <0. 001]且未发生感染、管道漏气、管道堵塞等不良事件。结论数字负压吸引装置对胸腔镜肺叶切除术后患者加速康复具有积极的意义。它的应用具有安全性、可行性和必要性,有利于FTS的推动,有利于增加患者对治疗过程的满意程度,值得进一步推广利用。

Objective It is important to shorten the duration of drainage and total hospital stay effectively in rapid rehabilitation after thoracic surgery. The digital drainage system is of many advantages like digitization, visualization, and negative pressure stability. The purpose of this article is to explore the effect of digital drainage system in rehabilitation of patients after VATS lobectomy. Methods 61 patients after thoracoscopic lobectomy in PLA General Hospital from May to Oct. 2017 were selected as the study object and were randomly divided into experimental group and control group. The differences in the time between closed thoracic drainage after operation were compared. Results The experimental group had a shorter duration of drainage [（3.93±0.884）d vs （5.47±1.191）d, P 〈0.001] with no adverse events such as infection, air leakage, and blockage. Conclusions The digital drainage system has positive significance for the rapid recovery of patients after VATS lobectomy. Its application has safe, feasibility,necessary, which is conductive to the promotion of ERAS. It is worth further popularization and utilization.