胸腔穿刺留置中心静脉置管与猪尾巴管在肝功能不全患者胸腔积液引流中的应用效果分析

Analysis on the effect of pleural puncture and indplacement of central vein catheterization and pig tail tube in drainage of pleural effusion in patients with hepatic insufficiency

目的研究胸腔穿刺留置中心静脉置管与猪尾巴管在肝功能不全患者胸腔积液引流中的应用效果。方法采用回顾性分析方法,以2019年7月至2021年11月南京医科大学第一附属医院收治的102例肝功能不全患者作为研究对象,按照引流方式分为对照组(n=78)与研究组(n=24)。对照组行中心静脉导管引流,研究组行猪尾巴管引流。比较两组患者置管时间、引流管保留时间、住院时间、总引流量、使用止痛药物率、并发症发生率、移位率、堵管率和总有效率。结果研究组患者的置管时间、引流管保留时间、住院时间、总引流量、使用止痛药物率、并发症发生率、移位率、堵管率、总有效率依次为(25.45±4.65)min、(5.73±1.76)d、(12.53±2.74)d、(2621.37±318.25)mL、16.67%、8.33%、0、0、95.83%;对照组置管时间、引流管保留时间、住院时间、总引流量、使用止痛药物率、并发症发生率、移位率、堵管率、总有效率依次为(24.55±4.45)min、(6.64±1.85)d、(12.42±2.69)d、(2327.52±295.48)mL、15.38%、8.97%、7.69%、19.23%、91.03%。较对照组,研究组引流管保留时间更短,总引流量更大,堵管率更低,差异均有统计学意义(P<0.05)。两组患者置管时间、住院时间、移位率、使用止痛药物率、总有效率和并发症发生率比较,差异均无统计学意义(P>0.05)。结论胸腔穿刺留置中心静脉置管与猪尾巴管在肝功能不全患者胸腔积液引流中的应用效果均显著,但猪尾巴管引流时间更短,引流量更大,且堵管率更低,引流优越性更高。

Objective To study the effect of central venous catheterization with pleural puncture and pig tail tube in the drainage of pleural effusion in patients with hepatic insufficiency.Methods A retrospective analysis method was used,102 patients with hepatic insufficiency who were admitted to the First Affiliated Hospital of Nanjing Medical University from July 2019 to November 2021 were selected as the research objects.They were divided into control group(n=78)and study group(n=24)according to the drainage method.The catheterization time,drainage catheter retention time,hospital stay,total drainage volume,analgesic drug use rate,complication rate,displacement rate,catheter blocking rate and total effective rate were compared between the two groups.Results In the study group,the catheterization time,drainage catheter retention time,hospital stay,total drainage volume,analgesic use rate,complication rate,displacement rate,tube blocking rate,and total effective rate were(25.45±4.65)min,(5.73±1.76)d,(12.53±2.74)d,(2621.37±318.25)mL,16.67%,8.33%,0,0,95.83%;the catheterization time,drainage tube retention time,hospitalization time,the total drainage volume,the rate of using analgesic drugs,the incidence of complications,the rate of displacement,the rate of tube blockage,and the total effective rate in the control group were(24.55±4.45)min,(6.64±1.85)d,(12.42±2.69)d,(2327.52±295.48)mL,15.38%,8.97%,7.69%,19.23%,91.03%.Compared with the control group,the drainage tube retention time of the study group was shorter,the total drainage volume was larger,and the tube blocking rate was lower,the differences were statistically significant(P<0.05).There was no statistically significant difference in the catheterization time,hospitalization time,displacement rate,analgesic use rate,total effective rate and complication rate between the two groups of patients(P>0.05).Conclusion The application effect of central venous catheterization and pig tail catheter in pleural effusion drainage of patients with hepatic insufficiency is significant,but the pig tail catheter has shorter drainage time,larger drainage volume,lower tube blockage rate and higher drainage advantage.