CAJ | 학술논문

目的：观察经皮穿刺引流术和体位引流治疗肺脓肿的临床效果。方法将38例肺脓肿患者随机分为治疗组（19例）与对照组（19例），治疗组患者采用经皮穿刺引流术治疗，对照组患者采用体位引流治疗，观察两组临床疗效。结果治疗组总有效率为84.2%，对照组总有效率为52.6%，两组比较差异有显著性（P＜0.05）。治疗组患者在住院天数、咳嗽消失时间、术后体温恢复时间及并发症发生率方面均优于对照组（P均＜0.05），差异具有显著性。结论经皮穿刺引流术治疗肺脓肿的总体疗效优于体位引流，可有效提高治愈率，简便易行，安全有效，值得临床推广应用。
목적：관찰경피천자인류술화체위인류치료폐농종적림상효과。방법장38례폐농종환자수궤분위치료조（19례）여대조조（19례），치료조환자채용경피천자인류술치료，대조조환자채용체위인류치료，관찰량조림상료효。결과치료조총유효솔위84.2%，대조조총유효솔위52.6%，량조비교차이유현저성（P＜0.05）。치료조환자재주원천수、해수소실시간、술후체온회복시간급병발증발생솔방면균우우대조조（P균＜0.05），차이구유현저성。결론경피천자인류술치료폐농종적총체료효우우체위인류，가유효제고치유솔，간편역행，안전유효，치득림상추엄응용。
Objective To observe the clinical efifcacy of percutaneous puncture drainage and postural drainage in the treatment of pulmonary abscess. Method 64 patients of pulmonary abscess were randomly divided into control group (n=19) and treatment group (n=19). Percutaneous drainage was used in treatment group and postural drainage was used in control group. The clinical efifcacy was compared between the two groups. Result The total effective rate of percutaneous drainage was 84.2%. There was diference between two groups in the curative ratio (P<0.05). But the index such as the duration of hospital stay, the time of body temperature return to normal, cough and expectoration ceasing time in the percutaneous drainage group were superior to those of in the control group (Pal <0.05). The difference was statistically signiifcant. Conclusion For the treatment of pulmonary abscess, pereutaneous drainage is mierotraumatie, safe, simple and reliable, compared with traditional postural drainage.