经皮肺穿刺活检后护理体位对于气胸发生的影响

Effect of nursing posture on pneumothorax after percutaneous lung biopsy

目的探讨护理体位对CT导向下经皮肺穿刺活检后气胸发生的影响。方法回顾性分析CT导向下经皮肺穿刺活检后患者临床资料,护理体位与穿刺活检体位相同者纳入A组,护理体位与穿刺活检体位相反者纳入B组,观察采用不同护理体位患者气胸的发生情况。结果共纳入280例肺穿刺活检后患者,护理体位与穿刺活检体位相同者组(A组)130例,护理体位与穿刺活检体位相反者(B组)150例;A组气胸发生率为16.9%(22/130),需要胸腔闭式引流者10例(7.7%),B组气胸发生率为6.0%(9/150),需要胸腔闭式引流者3例(2.0%),采用活检相反体位进行常规护理气胸发生率更低,差异具有统计学意义(P<0.05)。结论经皮肺穿刺活检术后采用活检相反体位进行护理,可减少气胸的发生,从而使胸腔闭式引流术应用减少。

Objective To evaluate the influence of nursing posture on pneumothorax after CT guided percutaneous transthoracic needle biopsy.Methods A retrospective study was developed involving patients who underwent computed tomography guided percutaneous lung biopsies.The efficacy of biopsy position aspiration and opposite position aspiration was observed.Patients with nursing posture the same to biopsy position were included into group A,while those who opposite to biopsy position were included into group B.The efficacy of two approaches were observed.Results280patients were included in our study.130cases with nursing posture same to biopsy position were included into group A,while other150patients were included into group B.The overall pneumothorax rate was16.9%(22/130)for group A,and10of the22patients needed chest tube insertion.For group B,the incidence of pneumothorax was6%(9/150),and3cases required chest tube placement.The results demonstrate nursing posture in opposite position to biopsy have a lower incidence of pneumothorax,which is with statistically significant difference(P<0.05).Conclusion Nursing in the opposite position to biopsy reduce the incidence of postbiopsy pneumothorax and rate of chest tube insertion.