腹腔引流导管用于胸腔闭式引流治疗胸腔积液的临床效果

Clinical effect of closed thoracic drainage with abdominal drainage catheter in the treatment of pleural effusion

目的观察分析腹腔引流导管用于胸腔闭式引流治疗胸腔积液的临床效果。方法选取2016年5月13日～2017年5月12日到本院进行治疗的146例胸腔积液患者,随机分为观察组与对照组,各73例。观察组采用腹腔引流导管,对照组采用中心静脉导管。比较两组的退热时长、住院时长、胸液消失时长、引流时长、并发症总发生率及总有效率。结果观察组的退热时长、住院时长、胸液消失时长、引流时长均短于对照组,差异有统计学意义(P<0.05)。观察组的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。观察组的总有效率高于对照组,差异有统计学意义(P<0.05)。结论在胸腔积液患者的诊治过程中应用腹腔引流导管进行胸腔闭式引流可有效降低患者并发症发生率,临床价值较高。

Objective To observe and analyze the clinical effect of closed thoracic drainage with abdominal drainage catheter in the treatment of pleural effusion.Methods Altogether 146 patients with pleural effusion who were treated in our hospital from May 13,2016 to May 12,2017 were selected and randomly divided into the observation group and the control group,73 patients in each group.The observation group was given abdominal drainage catheter,and the control group was given central venous catheter.The fever abatement time,hospitalization time,disappearance time of pleural effusion,drainage time,the total incidence rate of complication and the total effective rate were compared between the two groups.Results The duration of fever abatement,hospitalization,pleural fluid disappearance and drainage of the observation group were shorter than those of the control group,with statistically significant difference(P<0.05).The total incidence rate of complications of the observation group was lower than that of the control group,with statistically significant difference(P<0.05).The total effective rate of the observation group was higher than that of the control group,with statistically significant difference(P<0.05).Conclusion Closed thoracic drainage with abdominal drainage catheter in the diagnosis and treatment of pleural effusion can effectively reduce the incidence of complications in patients,which is of high clinical value.