小导管胸腔闭式引流术在胸腔积液中的应用意义

Application of Closed Thoracic Drainage with Small Catheter in Pleural Effusion

目的研究分析在胸腔积液患者中应用小导管胸腔闭式引流术的治疗效果。方法抽取在2016年4月至2018年4月到我院就诊的80例胸腔积液患者,随机划分为40例甲组(行胸腔穿刺抽液术进行治疗),40例乙组(行小导管胸腔闭式引流术进行治疗),统计治疗效果、不良反应发生情况,并进行评价与对比分析。结果经过治疗,甲组临床治疗总有效率为70.00%,乙组治疗总有效率为87.50%,经比较乙组治疗总有效率更高(P<0.05);甲组不良反应发生率为15.00%,乙组为2.50%,经比较乙组不良反应发生率更低(P<0.05)。结论在临床中治疗胸腔积液患者的时候,若选择小导管胸腔闭式引流术方式进行治疗,其效果理想,可有效抽取胸腔积液,从而促进康复,具有可观的价值。

Objective To study the therapeutic effect of small catheter closed thoracic drainage in patients withpleural effusion. Methods Eighty patients with pleural effusion who were admitted to our hospital from April 2016 to April 2018 were selected. They were randomly divided into 40 cases of group A(treated by thoracic puncture anddrainage) and 40 cases of group B(treated by small catheter closed thoracic drainage), statistical treatment effect andadverse reactions were evaluated and compared. Results After treatment, the total effective rate of group A was70.00%, and the total effective rate of group B was 87.50%. The total effective rate was higher in group B(P<0.05).The incidence of group A adverse reactions was 15.00%, group B was 2.50%, and the incidence of adverse reactionswas lower in group B(P<0.05). Conclusion In the clinical treatment of patients with pleural effusion, if the smallcatheter closed thoracic drainage is selected for treatment, the effect is ideal, and the pleural effusion can be effectivelyextracted, thereby promoting rehabilitation and has considerable value.