中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
15期
85-87
,共3页
胸腔闭式引流%尿激酶%胸腔积液
胸腔閉式引流%尿激酶%胸腔積液
흉강폐식인류%뇨격매%흉강적액
Thoracic close drainage%Urokinase%Pleural effusion
目的：探讨胸腔闭式引流并注入尿激酶治疗胸腔积液的效果。方法选择2013年1月~2014年3月来本院就诊的110例结核性胸腔积液患者作为研究对象，根据治疗方法的不同，将所有患者按随机抽样的方法分为实验组和对照组，对照组胸腔闭式引流后不作其余处理，实验组在安装胸腔闭式引流管后，在胸腔内通过引流管注射尿激酶。1个疗程后通过超声或CT确定胸腔积液程度，化验胸腔积液引流液中的成分，进行疗效评价。结果治疗前，两组患者胸腔积液中的蛋白质、白细胞浓度差异无统计学意义(P跃0.05)，实验组治疗后胸腔积液中的蛋白质、白细胞浓度较对照组均明显下降(P<0.05)。实验组的总有效率为98.2%；对照组为74.5%，两组的总有效率差异有统计学意义(P<0.05)。结论胸腔闭式引流并注入尿激酶治疗胸腔积液的效果明显好于传统单纯胸腔闭式引流，效果显著，值得临床推广。
目的：探討胸腔閉式引流併註入尿激酶治療胸腔積液的效果。方法選擇2013年1月~2014年3月來本院就診的110例結覈性胸腔積液患者作為研究對象，根據治療方法的不同，將所有患者按隨機抽樣的方法分為實驗組和對照組，對照組胸腔閉式引流後不作其餘處理，實驗組在安裝胸腔閉式引流管後，在胸腔內通過引流管註射尿激酶。1箇療程後通過超聲或CT確定胸腔積液程度，化驗胸腔積液引流液中的成分，進行療效評價。結果治療前，兩組患者胸腔積液中的蛋白質、白細胞濃度差異無統計學意義(P躍0.05)，實驗組治療後胸腔積液中的蛋白質、白細胞濃度較對照組均明顯下降(P<0.05)。實驗組的總有效率為98.2%；對照組為74.5%，兩組的總有效率差異有統計學意義(P<0.05)。結論胸腔閉式引流併註入尿激酶治療胸腔積液的效果明顯好于傳統單純胸腔閉式引流，效果顯著，值得臨床推廣。
목적：탐토흉강폐식인류병주입뇨격매치료흉강적액적효과。방법선택2013년1월~2014년3월래본원취진적110례결핵성흉강적액환자작위연구대상，근거치료방법적불동，장소유환자안수궤추양적방법분위실험조화대조조，대조조흉강폐식인류후불작기여처리，실험조재안장흉강폐식인류관후，재흉강내통과인류관주사뇨격매。1개료정후통과초성혹CT학정흉강적액정도，화험흉강적액인류액중적성분，진행료효평개。결과치료전，량조환자흉강적액중적단백질、백세포농도차이무통계학의의(P약0.05)，실험조치료후흉강적액중적단백질、백세포농도교대조조균명현하강(P<0.05)。실험조적총유효솔위98.2%；대조조위74.5%，량조적총유효솔차이유통계학의의(P<0.05)。결론흉강폐식인류병주입뇨격매치료흉강적액적효과명현호우전통단순흉강폐식인류，효과현저，치득림상추엄。
Objective To explore the effect of thoracic close drainage combined with urokinase injection treating pleu-ral effusion. Methods From January 2013 to March 2014,110 patients with tuberculous pleural effusion treated in our hospital were selected as research objects.According to different therapeutic methods,all patients were randomly divided into experimental group and control group according to random sampling method.In control group,no further treatment was applied after thoracic closed drainage,while in experimental group,after installation of thoracic drainage tube,uroki-nase was injected through drainage tube.The level of pleural effusion was determined by ultrasound or CT after 1 course of treatment,and components of drainage fluid in pleural effusion was tested aiming at effect evaluation. Results Before treatment,there was no statistical difference of protein and white blood cell concentration in pleural fluid of pa-tients in two groups (P>0.05). After treatment,protein and white blood cell concentration in pleural fluid in experimental group was greatly decreased compared with that in control group respectively (P<0.05).The total effective rate in experi-mental group was 98.2%,while in control group,the total effective rate was 74.5%,which displayed a statistical differ-ence (P<0.05). Conclusion Effect of thoracic close drainage combined with urokinase injection treating pleural effu-sion is significantly better than traditional thoracic close drainage alone.It obtains a remarkable effect,and is worthy of promotion in clinic.
