国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2013年
22期
1711-1713
,共3页
胸腔置管%胸腔穿刺%结核性胸膜炎
胸腔置管%胸腔穿刺%結覈性胸膜炎
흉강치관%흉강천자%결핵성흉막염
Transcatheter intraplrural therapy%Pleural puncture%Tuberculosis pleural effusion
目的 探讨胸腔置管与隔日胸腔穿刺在治疗结核性胸膜炎效果的差异.方法 选择2010年1月至2011年10月在河北省胸科医院住院治疗的患者127例,随机将患者分为胸腔置管组及胸腔穿刺组,观察两组患者胸水量降至15 mm以下(保持2周以上)的时间及患者在治疗过程中是否出现与操作相关的并发症.结果 胸腔置管组胸腔积液稳定在15 mm以下需(6±2.52)d,而胸腔穿刺组需要(9±1.37)d,两组之间差异有统计学意义(P＜0.05).胸腔置管组平均退热时间为(5±1.23)d,胸腔穿刺组为(7±1.07)d,两组之间差异有统计学意义(P＜0.05).两组均未发生严重操作相关并发症.结论 胸腔置管及隔日胸腔穿刺两种方法均安全、有效,胸腔置管较隔日胸腔穿刺效果好.
目的 探討胸腔置管與隔日胸腔穿刺在治療結覈性胸膜炎效果的差異.方法 選擇2010年1月至2011年10月在河北省胸科醫院住院治療的患者127例,隨機將患者分為胸腔置管組及胸腔穿刺組,觀察兩組患者胸水量降至15 mm以下(保持2週以上)的時間及患者在治療過程中是否齣現與操作相關的併髮癥.結果 胸腔置管組胸腔積液穩定在15 mm以下需(6±2.52)d,而胸腔穿刺組需要(9±1.37)d,兩組之間差異有統計學意義(P＜0.05).胸腔置管組平均退熱時間為(5±1.23)d,胸腔穿刺組為(7±1.07)d,兩組之間差異有統計學意義(P＜0.05).兩組均未髮生嚴重操作相關併髮癥.結論 胸腔置管及隔日胸腔穿刺兩種方法均安全、有效,胸腔置管較隔日胸腔穿刺效果好.
목적 탐토흉강치관여격일흉강천자재치료결핵성흉막염효과적차이.방법 선택2010년1월지2011년10월재하북성흉과의원주원치료적환자127례,수궤장환자분위흉강치관조급흉강천자조,관찰량조환자흉수량강지15 mm이하(보지2주이상)적시간급환자재치료과정중시부출현여조작상관적병발증.결과 흉강치관조흉강적액은정재15 mm이하수(6±2.52)d,이흉강천자조수요(9±1.37)d,량조지간차이유통계학의의(P＜0.05).흉강치관조평균퇴열시간위(5±1.23)d,흉강천자조위(7±1.07)d,량조지간차이유통계학의의(P＜0.05).량조균미발생엄중조작상관병발증.결론 흉강치관급격일흉강천자량충방법균안전、유효,흉강치관교격일흉강천자효과호.
Objective To investgate the difference between transcatheter intraplrural therapy and pleural puncture in the treatment of tuberculosis pleural effusion.Methods 127 cases were chosen from patients who hospitalized in Hebei Chest Hospital from January 2010to October 2011.Patients were divided into transcatheter intraplrural therapy group and pleural puncture group.The number of days when pleural volume of patients was below 15 mm (for more than two weeks) in the two groups and the number of days when fever disappeared,and the complications related to operation were observed.Results There was statistical difference in time when pleural volume was below 15 mm between transcatheter intraplrural therapy group and pleural puncture group [(6± 2.52) d vs (9± 1.37) d,P ＜0.05].There was statistical difference in time when fever disappeared between transcatheter intraplrural therapy group and pleural puncture group [(5±1.23) d vs (7± 1.07) d,P ＜0.05].The two groups had no serious complications related to the operation.Conclusions Transcatheter intraplrural therapy and pleural puncture are both safe and effective.The efficacy of transcatheter intraplrural therapy is better than that of pleural puncture.
