早期胸膜腔置管引流联合抗结核治疗结核性胸膜炎的临床效果

Clinical effect of early pleural cavity catheterization and drainage combined with anti-tuberculosis in the treatment of tuberculous pleurisy

目的探究早期胸膜腔置管引流联合抗结核治疗结核性胸膜炎的临床效果。方法选取我院收治的结核性胸膜炎患者60例为研究对象,将其按照数字奇偶法分为A组和B组,每组30例。A组采用多次穿刺引流联合抗结核治疗,B组采用早期胸膜腔置管引流联合抗结核治疗。比较两组患者的治疗效果。结果B组的治疗总有效率高于A组(P<0.05)。B组的胸腔积液引流量多于A组,胸水消失时间短于A组,胸膜厚度小于A组(P<0.05)。两组均未出现因置管而发生的不良反应。治疗3、6个月后,B组FVC%pred高于A组(P<0.05)。结论早期胸膜腔置管引流联合抗结核治疗结核性胸膜炎的效果确切,可提升积液引流量,缩短胸水消失时间,减少胸膜厚度,改善患者的肺功能,且安全性高。

Objective To explore the clinical effect of early pleural cavity catheterization and drainage combined with anti-tuberculosis in the treatment of tuberculous pleurisy.Methods A total of 60 patients with tuberculous pleurisy admitted in our hospital were selected as the study objects and divided into group A and group B according to the digital odd-even method,with 30 cases in each group.The group A received multiple puncture and drainage combined with anti-tuberculosis treatment,while the group B received early pleural cavity catheterization and drainage combined with anti-tuberculosis treatment.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment of the group B was higher than that of the group A(P<0.05).The drainage volume of pleural effusion in the group B was more than that in the group A,the disappearance time of hydrothorax was shorter than that in the group A,and the pleural thickening was less than that in the group A(P<0.05).There were no adverse reactions due to catheterization in both groups.After 3 and 6 months of treatment,FVC%pred in the group B was higher than that in the group A(P<0.05).Conclusion Early pleural cavity catheterization and drainage combined with anti-tuberculosis in the treatment of tuberculous pleurisy has exact effect,it can improve the drainage volume of effusion,shorten the disappearance time of hydrothorax,reduce the thickness of pleura,improve the pulmonary function of patients,and has high safety.