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目的比较三种不同胸腔闭式引流方法治疗自发性气胸中的效果。方法选取2010年1月-2013年12月期间,我院收治的自发性气胸患者123例为研究对象,采用对照研究,利用随机数表将其分为三组,第一组为传统硅胶管胸腔闭式引流术治疗;第二组为中心静脉导管胸腔闭式引流术治疗;第三组采用一次性带针胸管引流术治疗;比较三组患者的治疗效果以及不良反应情况,探讨不同治疗方法的临床应用价值。结果疗效比较方面,第一组与第三组总有效率差别无统计学意义(P>0.05),均高于第二组的总有效率,且差别有统计学意义(P<0.05);而在肺复张时间、拔管时间、住院时间方面比较,差别无统计学意义(P>0.05)。不良反应情况比较方面,堵管率比较,第一组与第三组比较,差别无统计学意义(P>0.05),且均低于第二组,差别有统计学意义(P<0.05);而切口感染率、皮下气肿率比较,第二组与第三组两组相同,差别无统计学意义(P>0.05),且均低于第一组差别有统计学意义(P<0.05)。结论采用一次性带针胸管引流术的效果较为满意,适于进一步推广应用。
Objective To compare the effects of three different thoracic closure drainage methods in the treatment of spontaneous pneumothorax. Methods A total of 123 patients with spontaneous pneumothorax admitted from January 2010 to December 2013 in our hospital were selected as control subjects and divided into three groups according to a random number table. The first group consisted of a conventional silicone tube Closed drainage; the second group was treated by thoracic closed drainage of central venous catheter; the third group was treated with disposable thoracic tube drainage; the treatment effect and adverse reactions were compared between the three groups to explore the different treatment methods The clinical value. The results of efficacy comparison, the first group and the third group total effective rate difference was not statistically significant (P> 0.05), were higher than the total effective rate of the second group, and the difference was statistically significant (P <0.05); There was no significant difference in the time of lung recruitment, extubation and hospital stay (P> 0.05). There was no significant difference between the first group and the third group (P> 0.05), and both were lower than the second group, the difference was statistically significant (P <0.05); Incision infection rate, subcutaneous emphysema rate, the second group and the third group of two groups the same, the difference was not statistically significant (P> 0.05), and were lower than the first group difference was statistically significant (P <0.05) . Conclusion The results of disposable thoracic tube drainage are satisfactory and suitable for further application.