国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2012年
9期
672-677
,共6页
李毅%李月川%马晖%谷松涛%焦丽娜
李毅%李月川%馬暉%穀鬆濤%焦麗娜
리의%리월천%마휘%곡송도%초려나
慢性阻塞性肺疾病%继发性气胸%胸腔闭式引流术%肺复张时间
慢性阻塞性肺疾病%繼髮性氣胸%胸腔閉式引流術%肺複張時間
만성조새성폐질병%계발성기흉%흉강폐식인류술%폐복장시간
Chronic obstructive pulmonary disease%Secondary pneumothorax%Air drainage%Diseased-lung reexpansion time
目的 探讨慢性阻塞性肺疾病(COPD)并发气胸者患肺复张的影响因素.方法 观察不同气胸类型、患肺压缩范围、发病至行胸腔闭式引流术时间,CAT评分对患肺复张的影响.结果 纳入111例患者中,94例到达观察终点,张力性气胸(47例)、闭合性气胸(27例)、交通性气胸(20例)的患肺复张时间分别为(91.91±45.68)h、(56.89±27.56)h、(120.00±46.07)h,三者比较差异有统计学意义(F =13.800,P＜0.01).根据患肺压缩范围分为≤30％亚组、＞30％亚组,张力性气胸患肺复张时间为:(84.80±54.16)h、(98.52±41.08)h(t=-0.988,P＞0.05);闭合性气胸患肺复张时间为:(64.00±27.71)h、(51.43±28.02)h(t=1.146,P＞0.05)；交通性气胸患肺复张时间为:(111.00±36.14)h、(126.00±52.31)h(t=-0.704,P＞0.05).根据发病至行胸腔闭式引流术时间分为≤72 h亚组、＞72 h亚组,张力性气胸患肺复张时间为:(102.18±50.27)h、(70.29±28.96)h(t=2.214,P＜0.05);闭合性气胸患肺复张时间为:(72.00±28.95)h、(44.80±20.01)h(t=2.884,P＜0.05)；交通性气胸患肺复张时间为:(135.43±46.7 0)h、(84.00±13.15)h(t=2.616,P＜0.05).根据患者CAT评分分为≤20分亚组、＞20分亚组,张力性气胸患肺复张时间为:(73.09±33.52)h、(109.92±50.95)h(t=-2.884,P＜0.05)；闭合性气胸患肺复张时间为:(46.50±23.95)h、(72.00±26.29)h(t=-2.613,P＜0.05)；交通性气胸患肺复张时间为:(85.33±27.13)h、(148.36±38.43)h(t=-4.140,P＜0.05).结论 COPD并发气胸患者中,闭合性气胸患肺完全复张时间短于张力性气胸及交通性气胸,张力性气胸患肺完全复张时间短于交通性气胸；发病至行胸腔闭式引流术时间越长,CAT评分越低患肺复张时间越短,反之患肺复张时间越长；患肺复张时间与患肺压缩范围无关.
目的 探討慢性阻塞性肺疾病(COPD)併髮氣胸者患肺複張的影響因素.方法 觀察不同氣胸類型、患肺壓縮範圍、髮病至行胸腔閉式引流術時間,CAT評分對患肺複張的影響.結果 納入111例患者中,94例到達觀察終點,張力性氣胸(47例)、閉閤性氣胸(27例)、交通性氣胸(20例)的患肺複張時間分彆為(91.91±45.68)h、(56.89±27.56)h、(120.00±46.07)h,三者比較差異有統計學意義(F =13.800,P＜0.01).根據患肺壓縮範圍分為≤30％亞組、＞30％亞組,張力性氣胸患肺複張時間為:(84.80±54.16)h、(98.52±41.08)h(t=-0.988,P＞0.05);閉閤性氣胸患肺複張時間為:(64.00±27.71)h、(51.43±28.02)h(t=1.146,P＞0.05)；交通性氣胸患肺複張時間為:(111.00±36.14)h、(126.00±52.31)h(t=-0.704,P＞0.05).根據髮病至行胸腔閉式引流術時間分為≤72 h亞組、＞72 h亞組,張力性氣胸患肺複張時間為:(102.18±50.27)h、(70.29±28.96)h(t=2.214,P＜0.05);閉閤性氣胸患肺複張時間為:(72.00±28.95)h、(44.80±20.01)h(t=2.884,P＜0.05)；交通性氣胸患肺複張時間為:(135.43±46.7 0)h、(84.00±13.15)h(t=2.616,P＜0.05).根據患者CAT評分分為≤20分亞組、＞20分亞組,張力性氣胸患肺複張時間為:(73.09±33.52)h、(109.92±50.95)h(t=-2.884,P＜0.05)；閉閤性氣胸患肺複張時間為:(46.50±23.95)h、(72.00±26.29)h(t=-2.613,P＜0.05)；交通性氣胸患肺複張時間為:(85.33±27.13)h、(148.36±38.43)h(t=-4.140,P＜0.05).結論 COPD併髮氣胸患者中,閉閤性氣胸患肺完全複張時間短于張力性氣胸及交通性氣胸,張力性氣胸患肺完全複張時間短于交通性氣胸；髮病至行胸腔閉式引流術時間越長,CAT評分越低患肺複張時間越短,反之患肺複張時間越長；患肺複張時間與患肺壓縮範圍無關.
목적 탐토만성조새성폐질병(COPD)병발기흉자환폐복장적영향인소.방법 관찰불동기흉류형、환폐압축범위、발병지행흉강폐식인류술시간,CAT평분대환폐복장적영향.결과 납입111례환자중,94례도체관찰종점,장력성기흉(47례)、폐합성기흉(27례)、교통성기흉(20례)적환폐복장시간분별위(91.91±45.68)h、(56.89±27.56)h、(120.00±46.07)h,삼자비교차이유통계학의의(F =13.800,P＜0.01).근거환폐압축범위분위≤30％아조、＞30％아조,장력성기흉환폐복장시간위:(84.80±54.16)h、(98.52±41.08)h(t=-0.988,P＞0.05);폐합성기흉환폐복장시간위:(64.00±27.71)h、(51.43±28.02)h(t=1.146,P＞0.05)；교통성기흉환폐복장시간위:(111.00±36.14)h、(126.00±52.31)h(t=-0.704,P＞0.05).근거발병지행흉강폐식인류술시간분위≤72 h아조、＞72 h아조,장력성기흉환폐복장시간위:(102.18±50.27)h、(70.29±28.96)h(t=2.214,P＜0.05);폐합성기흉환폐복장시간위:(72.00±28.95)h、(44.80±20.01)h(t=2.884,P＜0.05)；교통성기흉환폐복장시간위:(135.43±46.7 0)h、(84.00±13.15)h(t=2.616,P＜0.05).근거환자CAT평분분위≤20분아조、＞20분아조,장력성기흉환폐복장시간위:(73.09±33.52)h、(109.92±50.95)h(t=-2.884,P＜0.05)；폐합성기흉환폐복장시간위:(46.50±23.95)h、(72.00±26.29)h(t=-2.613,P＜0.05)；교통성기흉환폐복장시간위:(85.33±27.13)h、(148.36±38.43)h(t=-4.140,P＜0.05).결론 COPD병발기흉환자중,폐합성기흉환폐완전복장시간단우장력성기흉급교통성기흉,장력성기흉환폐완전복장시간단우교통성기흉；발병지행흉강폐식인류술시간월장,CAT평분월저환폐복장시간월단,반지환폐복장시간월장；환폐복장시간여환폐압축범위무관.
Objective To explore the effect of diseased-lung reexpansion in secondary pneumothorax patients with chronic obstructive pulmonary disease (COPD).Methods We observe four factors:the type of pneumothorax,the pneumothorax size,the hours from the onset of symptoms to undergo air drainages,and the CAT scores.Furthmore,we evaluated the correlation between those four factors and the diseased-lung reexpansion time.Results In totle of 94 patients completed the study end point.There were 47 patients in tension pneumothorax group,27 patients in closed pneumothorax group,and 20 patients in traffic pneumothorax group,the reexpansion time was (91.91 ±45.68) h,(56.89±27.56) h and (120.00 ± 46.07) h.There were significant differences among these three groups( F =13.800,P ＜0.01).In accordance with pneumothorax size,the reexpansion time in two subgroups were (84.80±54.16) h and (98.52±41.08) h( t =-0.988,P ＞0.05,tension pneumothorax group),(64.00±27.71) h and (51.43±28.02) h( t =1.146,P ＞0.05,closed pneumothorax group),(111.00±36.14) hand (126.00±52.31) h( t =-0.704,P ＞0.05,traffic pneumothorax group).Accoding to the hours from the onset of symptoms to undergo air drainages,the reexpansion time in two subgroups were (102.18±50.27) h and (70.29±28.96) h( t =2.214,P ＜0.05,tension pneumothorax group),(72.00±28.95) h and (44.80±20.01) h ( t =2.884,P ＜0.05,closed pneumothorax group),(135.43±46.70) hand (84.00±[13.15) h ( t =2.616,P ＜0.05,traffic pneumothorax group).Under the CAT scores,the reexpansion time in two subgroups were (73.09±[33.52) h and (109.92±50.95) h ( t =-2.884,P ＜0.05,tension pneumothorax group),(46.50±23.95) h and (72.00±26.29) h ( t =-2.613,P ＜0.05,closed pneumothorax group),(85.33±27.13) h and (148.36±38.43) h ( t =-4.140,P ＜0.05,traffic pneumothorax group).Conclusions In secondary pneumothorax patients with COPD,the diseased-lung reexpansion time have association with the type of pneumothorax,the hours from the onset of symptoms to undergo air draiages,and the CAT scores,however,there is no relationship with the pneumothorax size.
