中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
17期
24-25
,共2页
危重胸腔积液%中心静脉导管%胸腔闭式引流%效果
危重胸腔積液%中心靜脈導管%胸腔閉式引流%效果
위중흉강적액%중심정맥도관%흉강폐식인류%효과
Critically ill pleural effusion%Central venous catheter%Chest type drainage%Effect
目的 分析中心静脉导管置管引流治疗危重胸腔积液患者的临床效果.方法 选择南阳市南石医院2012年2月至2014年2月收治的危重胸腔积液患者50例,随机分为两组,每组25例.对照组给予传统胸腔闭式引流治疗,实验组行中心静脉导管置管引流治疗,比较两组治疗效果、治疗前后生化指标及并发症情况.结果 实验组胸腔积液消失时间、住院时间分别为(7.20±1.35)、(8.15±1.65)d,均明显短于对照组的(10.14±1.80)、(11.70±2.31)d,差异有统计学意义(P<0.05).实验组并发症发生率为4%,明显低于对照组的24%(P<0.05).另外,两组治疗后C-反应蛋白比较差异有统计学意义(P<0.05).结论 中心静脉导管置管引流治疗危重胸腔积液疗效明显,并发症少,值得临床推广.
目的 分析中心靜脈導管置管引流治療危重胸腔積液患者的臨床效果.方法 選擇南暘市南石醫院2012年2月至2014年2月收治的危重胸腔積液患者50例,隨機分為兩組,每組25例.對照組給予傳統胸腔閉式引流治療,實驗組行中心靜脈導管置管引流治療,比較兩組治療效果、治療前後生化指標及併髮癥情況.結果 實驗組胸腔積液消失時間、住院時間分彆為(7.20±1.35)、(8.15±1.65)d,均明顯短于對照組的(10.14±1.80)、(11.70±2.31)d,差異有統計學意義(P<0.05).實驗組併髮癥髮生率為4%,明顯低于對照組的24%(P<0.05).另外,兩組治療後C-反應蛋白比較差異有統計學意義(P<0.05).結論 中心靜脈導管置管引流治療危重胸腔積液療效明顯,併髮癥少,值得臨床推廣.
목적 분석중심정맥도관치관인류치료위중흉강적액환자적림상효과.방법 선택남양시남석의원2012년2월지2014년2월수치적위중흉강적액환자50례,수궤분위량조,매조25례.대조조급여전통흉강폐식인류치료,실험조행중심정맥도관치관인류치료,비교량조치료효과、치료전후생화지표급병발증정황.결과 실험조흉강적액소실시간、주원시간분별위(7.20±1.35)、(8.15±1.65)d,균명현단우대조조적(10.14±1.80)、(11.70±2.31)d,차이유통계학의의(P<0.05).실험조병발증발생솔위4%,명현저우대조조적24%(P<0.05).령외,량조치료후C-반응단백비교차이유통계학의의(P<0.05).결론 중심정맥도관치관인류치료위중흉강적액료효명현,병발증소,치득림상추엄.
Objective To analyze the clinical effect of central venous catheter drainage tube on critically ill patients with pleural effusion.Methods Fifty critically ill patients with pleural effusion from February 2012 to February 2014 were chosen as the research objects,they were randomly divided into two groups,with 25 cases in each group,patients in control group were given the traditional closed chest drainage treatment,patients in experimental group were treated by central venous catheter drainage tube.The treatment effects,complications before and after treatment and biochemical indicators of the two groups were compared.Results The pleural effusion disappeared time and average hospitalization time was (7.20 ± 1.35) d,(8.15 ± 1.65)d in experimental group,respectively,which were significantly shorter than those in control group [(10.14 ± 1.80) d,(11.70 ±2.31)d],the differences were statistically significant (P <0.05).The complication rate of experimental group(4%) was less than that of control group(24%),the difference was significant (P <0.05).In addition,after treatment,the difference of CRP between the two groups was significant (P < 0.05).Conclusions The curative effect of central venous catheter drainage tube on critically ill pleural effusion is significant,has fewer complications,is worthy of clinical promotion.