CAJ | 학술논문

目的观察微管置管胸腔闭式引流治疗结核性胸腔积液的疗效及其安全性.方法 64例结核性胸腔积液患者均分成传统治疗组(对照组)和微管闭式引流组(治疗组),每组32例.对照组按常规给予间断、定量抽液法治疗.治疗组予微管胸腔闭式引流.结果两种治疗方法均能有效减少胸腔积液,但治疗组显效率明显高于对照组(P＜0.05),同时胸膜反应减少,费用降低(P＜0.01).结论微管闭式引流具有疗效好,费用低,并发症少和患者乐于接受等优点,可降低医疗风险.
목적 관찰미관치관흉강폐식인류치료결핵성흉강적액적료효급기안전성.방법 64례결핵성흉강적액환자균분성전통치료조(대조조)화미관폐식인류조(치료조),매조32례.대조조안상규급여간단、정량추액법치료.치료조여미관흉강폐식인류.결과 량충치료방법균능유효감소흉강적액,단치료조현효솔명현고우대조조(P＜0.05),동시흉막반응감소,비용강저(P＜0.01).결론 미관폐식인류구유료효호,비용저,병발증소화환자악우접수등우점,가강저의료풍험.
Objective To observe the effect and safety of pleural effusion treated by closed thoracic drainage with micro-catheter. Methods A total of 64 cases with pleural effusion were randomly divided into conventional therapy group ( control group ) and closed thoracic drainage with micro-catheter group ( treatment group) , each group including( 32 cases ). Control group were treated with drainage of thoracic puncture interruptedly while treatment group treated by closed thoracic drainage with micro-catheter. Results Both two therapeutic methods could reduce pleural effusion, but obvious effective rate of treatment group was higher than that of control group( P ＜ 0.05 ). Meanwhile, the rate of pleural reaction and treatment cost in treatment group were lower than that in control group. Conclusion Closed thoracic drainage with micro-catheter was effective, lower treatment cost and lower complications. Moreover, it could reduce medical risk.