CAJ | 학술논문

目的：探讨改良细导管引流方法在老年胸腔积液治疗中的作用。方法本文研究对象为100例我院收治的各类胸腔积液老年患者，在常规治疗及护理基础上，间断抽液组患者使用间断抽液方法进行治疗，细导管组使用经改良的细导管进行引流，比较两组患者引流量、积液消失时间、住院时间、并发症发生率，住院期间主观体验和生活质量之间的差异。结果细导管组患者引流量大于间断抽液组，积液消失时间、住院时间和并发症发生率小于间断抽液组，住院期间主观体验得分及生活质量得分皆显著高于间断抽液组（P＜0.05）。结论改良细导管引流可以在老年胸腔积液治疗中起到积极作用，其可更彻底、更快速的引流患者胸腔积液，降低相关并发症的发生率。
목적：탐토개량세도관인류방법재노년흉강적액치료중적작용。방법본문연구대상위100례아원수치적각류흉강적액노년환자，재상규치료급호리기출상，간단추액조환자사용간단추액방법진행치료，세도관조사용경개량적세도관진행인류，비교량조환자인류량、적액소실시간、주원시간、병발증발생솔，주원기간주관체험화생활질량지간적차이。결과세도관조환자인류량대우간단추액조，적액소실시간、주원시간화병발증발생솔소우간단추액조，주원기간주관체험득분급생활질량득분개현저고우간단추액조（P＜0.05）。결론개량세도관인류가이재노년흉강적액치료중기도적겁작용，기가경철저、경쾌속적인류환자흉강적액，강저상관병발증적발생솔。
Objective To investigate the effect on treatment of pleural effusion with improved small catheter for closing drainage. Methods 100 elder patients with pleural effusion were divided into the objective group and control group. The conventional treatment and nursing plan was used in all the patients. The improved small catheter for closing drainage was used in the objective group. The amount of output, the effusion disappear time, length of hospital stay, complication rate, subjective experience and life quality in the hospital were compared between the two groups. Results The amount of output in the objective group was more. The effusion disappear time and length of hospital stay were less. The complication rate in the pancreas islet was lower, and the subjective experience and life quality were better in the objective group than those in the control group. Conclusion It can get a satisfaction effect to use improved small catheter in the treatment of pleural effusion for closing drainage, with bettet clinical effect and less complications.