持续低负压吸引结合引流细管在胸腔镜术后快速恢复中的应用

Application of continuous low negative pressure suction combined with drainage tube in rapid recovery after thoracoscopic surgery

目的观察持续低负压吸引结合引流细管对胸腔镜术后病人快速康复的效果。方法2019年1月~2020年12月胸外科微创手术病人87例,参照随机对照表分为两组,实验组47例,对照组40例。实验组使用持续低负压吸引结合引流细管,对照组常规中等粗胸管,普通水封瓶引流,比较两组病人术后拔管时间、术后胸腔引流量、术后24小时断面胸管内胸液乳酸脱氢酶含量。结果实验组拔管时间明显缩短,两组比较差异有统计学意义(P<0.05)。两组术后胸腔引流量、术后24小时断面胸管内胸液乳酸脱氢酶含量比较,差异无统计学意义(P>0.05)。结论持续低负压吸引结合引流细管能明显缩短拔管时间,没有对胸腔造成额外损伤,有利于胸腔镜术后快速恢复。

Objective To evaluate the advantage of negative pressure suction followed by thin thoracic tube after thoracoscope operation.Method During January 2019 to December 2020,we performed 87 thoracoscope operations,and they were randomly divided into experimental group(47 cases)and control group(40 cases).the experimental group use negative pressure suction followed by thin thoracic tube after thoracoscope operation,otherwise,the control group use routine medium caliber thoracic tube to drainage pleural hydrocele,analyze the differences between two groups by statistical treated data on the extubation time after operaton,the gross of pleural effusion after operaton,the levels of lactate dehydrogenase(LDH)at 24 hours after surgery.Result The extubation time was significantly shortened in the experimental group(P<0.05).The gross of pleural effusion after operaton and the levels of lactate dehydrogenase(LDH)the moment ofafter surgery showed no significant between two groups(P>0.05).Conclusion The experimental group can shorted time of bearing drainage tubes after thoracoscope operation;the negative pressure suction followed by thin thoracic tube can not cause additional damage to thoracic cavity,and facilitate enhanced recovery after surgery.