改良胸腔闭式引流在肺大泡自发性气胸治疗中的应用效果分析

Analysis of the Effect of Improved Thoracic Closed Drainage in the Treatment of Spontaneous Pneumothorax in Pulmonary Bullae

目的观察改良胸腔闭式引流在肺大泡自发性气胸治疗中的应用效果。方法以2018年1—10月期间该院收治的肺大泡自发性气胸100例患者为对象,将参与实验患者按照随机信封法分组,每组50例,对照组患者采取中心静脉导管胸腔闭式引流术,观察组应用改良的胸腔闭式引流术,对两组治疗效果、肺部各项功能指标以及并发症情况进行分析。结果两组进行对比后发现观察组在术后整体的恢复质量方更加理想,其中观察组平均肺复张时间(2.32±1.12)d、平均置管引流时间(5.61±0.22)d、拔管时间(6.14±0.33)d,对照组平均肺复张时间(4.22±1.15)d、平均置管引流时间(6.41±0.57)d、拔管时间(7.67±1.61)d,数据对比发现观察组在术后患者肺部功能的恢复方面与对照组进行比较,效果更加理想,其中观察组第1秒时间肺活量(3298.31±96.76)mL、通气储量(103.51±8.69)%、住院时间(5.24±1.14)d,对照组第1秒时间肺活量(2833.52±87.48)mL、通气储量(87.31±6.52)%、住院时间(8.77±1.49)d,对比数据可得观察组并发症率为6.00%,对照组为20.00%,观察组并发症率更低(χ^2=4.332,P=0.037)。结论肺大泡自发性气胸治疗中应用改良胸腔闭式引流技术,患者在术后的恢复质量方面更加理想,并且尽可能降低对肺部功能的伤害,治疗后整体的并发症率也较低,因此可以在临床范围内进行一定的推广。

Objective To observe the effect of improved thoracic closed drainage in the treatment of spontaneous pneumothorax in pulmonary bullae.Methods One hundred patients with spontaneous pneumothorax of the pulmonary bullae admitted to our hospital from January to October 2018 were enrolled in the study.The patients were enrolled in a random envelope method with 50 patients in each group.Intravenous catheter thoracic closed drainage,the observation group was treated with modified thoracic closed drainage,the two groups of treatment effects,lung function indicators and complications were analyzed.Results After comparison between the two groups,it was found that the overall recovery quality of the observation group was more ideal.The average lung recruitment time(2.32±1.12)d,average catheter drainage time(5.61±0.22)d,and extubation were observed in the observation group(6.14±0.33)d,mean lung recruitment time(4.22±1.15)d,mean catheter drainage time(6.41±0.57)d,extubation time(7.67±1.61)d,data comparison found in the observation group,compared with the control group,the recovery of lung function in patients with postoperative results was more ideal.The lung volume(3 298.31±96.76)mL,ventilation reserve(103.51±8.69)%,and hospitalization time(5.24±1.14)d were observed in the observation group,the lung volume(2 833.52±87.48)mL,ventilation reserve(87.31±6.52)%,and hospitalization time(8.77±1.49)d in the first second of the control group.The complication rate of the observation group was 6.00%,and the control group was 20.00%,the observation group had a lower complication rate(χ^2=4.332,P=0.037).Conclusion The modified thoracic closed drainage technique is used in the treatment of spontaneous pneumothorax of the pulmonary bullae.The patient's recovery quality is more ideal,and the damage to the lung function is reduced as much as possible.The overall complication rate after treatment is also low.Therefore,it can be promoted in the clinical scope.