河北医科大学学报

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持续负压引流在外穿性结核性脓胸术后应用的效果

  

  1. 河北省胸科医院胸外科,河北 石家庄 050041
  • 出版日期:2017-06-25 发布日期:2017-06-22
  • 作者简介:刘佳坤(1982-),男,山东肥城人,河北省胸科医院主治医师,医学学士,从事胸外科疾病诊治研究。
  • 基金资助:
    河北省医学科学研究重点课题(20150613)

Effect of continuous negative pressure drainage in the postoperative #br# recovery of tuberculous empyema necessitates

  1. Department of thoracic surgery, Hebei provincial Chest Hospital, Shijiazhuang 050041, China
  • Online:2017-06-25 Published:2017-06-22

摘要: 摘要]目的观察持续负压引流在外穿性结核性脓胸术后的应用效果。方法将68例外穿性结核性脓胸患者分为接受持续负压引流34例为观察组和接受引流管被动引流34例为对照组。对比2组术后引流量、带管时间、术后疼痛评分、术后住院时间、肺复张情况、切口愈合不良发生率。结果观察组带管时间和术后住院时间少短于对照组,差异有统计学意义(P<005);2组术后引流量和疼痛评分差异无统计学意义(P>005);观察组切口愈合不良发生率低于对照组,差异有统计学意义(P<005)。结论在严格掌握注意事项的前提下,外穿性结核性脓胸术后给予持续负压引流有利于患者术后的恢复。

关键词: 脓胸, 结核性, 引流术, 手术后并发症

Abstract: Abstract] ObjectiveTo explore the effect of continuous negative pressure drainage in the postoperative recovery of tuberculous empyema necessitatis. MethodsSixtyeight patients with tuberculous empyema necessitatis were researched, 34 patients treated by continuous negative pressure drainage were in the observation group,and the other 34 patients treated by passive drainage were in the control group. The amount of postoperation drainage, drainage duration, postoperative visual analogue scale(VAS) score, postoperative hospital stay, lung recruitment, and the rate of poor incision healing were compared between the two groups. ResultsThe drainage duration and the postoperative hospital stay of the observation group was shorter than the control group, the difference was statistically significant(P<005). The amount of postoperation drainage and the postoperative VAS score of the two groups were not significantly different(P>0.05). The rate of poor incision healing of the observation group was lower than the control group, the difference was statistically significant(P<005). ConclusionOn the basis of strict indications, continuous negative pressure drainage showed many positive effects in postoperative recovery of tuberculous empyema necessitates.

Key words: empyema, tuberculous, drainage, postoperative complications