中心静脉导管胸腔闭式引流术治疗自发性气胸的临床疗效

Clinical Effect and Safety of Closed Thoracic Drainage with Central Venous Catheter in Treatment of Spontaneous Pneumothorax

目的探究中心静脉导管胸腔闭式引流术治疗自发性气胸的临床疗效及安全性。方法选取2015年6月至2019年4月常州市第四人民医院收治的80例自发性气胸患者,采用随机数字表分为两组,每组40例。对照组与试验组分别采用粗硅胶管及中心静脉导管胸腔闭式引流。比较两组血气指标、并发症的情况及疼痛评分。结果治疗后,试验组二氧化碳分压(PaCO2)水平、肺水肿及皮下气肿发生率及疼痛评分均明显低于对照组(P<0.05或P<0.01),动脉血氧分压(PaO2)水平高于对照组(P<0.01)。结论中心静脉导管胸腔闭式引流术可减轻自发性气胸患者疼痛程度,改善肺通气功能,且安全可靠。

Objective To explore the clinical effect and safety of closed thoracic drainage with central venous catheter in the treatment of spontaneous pneumothorax.Methods Eighty patients with spontaneous pneumothorax admitted to our hospital from June 2015 to April 2019 were randomly divided into two groups,40 cases in each group.Closed thoracic drainage with thick silica gel tube and central venous catheter was used in the control group and the experimental group,respectively.To observe blood gas index,complications and pain score difference between the two groups.The blood gas index,complications and pain scores were compared between the two groups.Results After treatment,the PaCO2 level,the incidences of pulmonary edema and subcutaneous emphysema,as well as pain score in the experimental group were lower than those in the control group(P<0.05 or P<0.01).The PaO2 level was higher than that of control group(P<0.01).Conclusion Closed thoracic drainage with central venous catheter can relieve pain in patients with spontaneous pneumothorax,which is safe and reliable.