改良胸腔留置中心静脉导管治疗胸腔积液的临床效果及其不良反应

Clinical Effect and Adverse Reactions of Modified Pleural Indwelling Central Venous Catheter in the Treatment of Pleural Effusion

目的研究改良胸腔留置中心静脉导管治疗胸腔积液的临床效果和不良反应发生状况。方法在该院2016年9月—2019年2月收治的胸腔积液患者中选取74例作为研究对象,按照不同的治疗方法分观察组和对照组,观察组37例,对照组37例,对照组采用传统穿刺手术治疗,观察组采用改良胸腔留置中心静脉导管治疗,对比两组的住院时间、胸腔积液吸收时间、不良反应发生状况和综合临床治疗效果。结果观察组与对照组比较,观察组的住院时间为(8.4±1.3)d,对照组的住院时间为(11.3±1.6)d(t=8.557,P=0.000),观察组的住院时间短,观察组的胸腔积液吸收时间为(5.2±0.7)d,对照组的胸腔积液吸收时间为(7.1±0.9)d(t=10.136,P=0.000),胸腔积液吸收时间早,观察组的不良反应发生率为5.41%,对照组的不良反应发生率为27.03%(χ^2=6.366,P=0.012),不良反应发生率低,观察组的治疗有效率为97.30%,对照组的治疗有效率为81.08%(χ^2=5.046,P=0.025),观察组综合临床治疗效果好,各项对比差异有统计学意义(P<0.05)。结论改良胸腔留置中心静脉导管治疗胸腔积液有较好的临床治疗效果,患者住院治疗时间短,胸腔积液吸收时间早,不良反应发生率低,总体治疗效果比较好,在实际临床中的实用价值显著,值得广泛的推荐运用。

Objective To study the clinical effect and adverse reaction of pleural effusion in the treatment of pleural indwelling central venous catheter.Methods 74 patients with pleural effusion admitted to the hospital from September 2016 to February 2019 were selected as study subjects.According to different treatment methods,two groups were observed and control group,37 cases in observation group and 37 cases in control group.The control group was treated with conventional puncture surgery.The observation group was treated with modified venous indwelling central venous catheter.The hospitalization time,pleural effusion absorption time,adverse reaction occurrence and comprehensive clinical treatment were compared between the two groups.Results Compared with the control group,the observation group was hospitalized for(8.4±1.3)d,and the control group was hospitalized for(11.3±1.6)d(t=8.557,P=0.000).The hospitalization time of the observation group was short.The absorption time of pleural effusion was(5.2±0.7)d,and the absorption time of pleural effusion was(7.1±0.9)d(t=10.136,P=0.000),and the absorption time of pleural effusion was early.The incidence of adverse reactions was 5.41%,the incidence of adverse reactions in the control group was 27.03%(χ^2=6.366,P=0.012),and the incidence of adverse reactions was low.The effective rate of treatment in the observation group was 97.30%.The effective rate of treatment in the control group was 81.08%(χ^2=5.046,P=0.025),the comprehensive clinical treatment effect was good in the observation group,the contrasts were significant,and statistically significant(P<0.05).Conclusion The improved pleural indwelling central venous catheter has a good clinical effect in treating pleural effusion.The hospitalization time is short,the pleural effusion absorption time is early,the incidence of adverse reactions is low,the overall treatment effect is better,and it is practical in practical clinical practice.The value is significant and deserves a wide range of recommended applications.