超声引导下心包积液穿刺及置管引流的临床应用价值探讨

Clinical application value of pericardial effusion puncture and catheter drainage under ultrasound guidance

目的探讨超声引导下心包积液穿刺及置管引流的临床应用价值。方法选取2018年5月~2019年5月本院收治的心包积液患者130例,按照接诊顺序奇偶性分为观察组与对照组,各65例。观察组超声引导下心包穿刺置管治疗,对照组常规心包穿刺治疗。对比两组术后并发症、术后奇脉、心包填塞发生率及术后疾病复发率等情况。结果对照组的术后并发症总发生率为15.38%(10/65),观察组为3.07%(2/65),差异有统计学意义(P<0.05);对照组奇脉发生率为38.46%(25/65),观察组为16.92%(11/65),差异有统计学意义(P<0.05);对照组心包填塞发生率为52.31%(34/65),观察组为33.84%(22/65),差异有统计学意义(P<0.05);对照组的术后疾病复发率为24.61%(16/65),观察组为12.30%(8/65),差异有统计学意义(P<0.05)。结论心包积液患者采用超声引导下心包穿刺置管治疗,可降低患者并发症、术后疾病复发的发生率,同时降低术后奇脉、心包填塞发生率,加快患者康复速度,具有临床应用价值。

Objective To explore the clinical application value of pericardial effusion puncture and catheter drainage under ultrasound guidance.Methods 130 patients with pericardial effusion treated in our hospital from May 2018 to May 2019 were selected and divided into observation group and control group according to the order of consultation,with 65 cases in each group.the pericardial puncture and catheter placement under ultrasound guidance The observation group treated with,and the conventional pericardial puncture treatment The control group.The incidence of postoperative complications,odd pulses,pericardial tamponade,and postoperative disease recurrence were compared between the two groups.Results The total incidence of postoperative complications was 15.38%(10/65)in the control group and 3.07%(2/65)in the observation group,with statistically significant difference(P<0.05);the incidence of abnormal pulse was 38.46%(25/65)in the control group and 16.92%(11/65)in the observation group,with statistically significant difference(P<0.05);the incidence of pericardial tamponade was 52.31%(34/65)in the control group and 33.84%(22/65)in the observation group,with statistically significant difference(P<0.05).The recurrence rate was 24.61%(16/65)in the control group and 12.30%(8/65)in the observation group.Conclusion For patients with pericardial effusion,the use of ultrasound-guided pericardial puncture and catheterization can reduce the incidence of complications and postoperative disease recurrence,reduce the incidence of postoperative odd pulses and pericardial tamponade,and speed up the recovery rate of patients.It has clinical application value.