探讨老年慢性阻塞性肺疾病合并自发性气胸的临床疗效

《探讨老年慢性阻塞性肺疾病合并自发性气胸的临床疗效》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、探讨老年慢性阻塞性肺疾病合并自发性气胸的临床疗效黑龙江省齐齐哈尔市泰来县泰来镇卫生院162400【摘要】目的探讨老年慢性阻塞性肺疾病合并自发性气胸的诊治方法以及疗效观察。方法此次研究的对象是选择90例慢性阻塞性肺疾病合并自发性气胸老年患者，将其临床资料进行回顾性分析，并随机分为对照组和治疗组，每组45例。对照组在常规治疗的基础上实施深静脉置管抽气疗法，治疗组在常规治疗的基础上给予胸腔负压引流疗法。对比两组患者治疗效果、疼痛程度、患者满意度及住院时间、肺复张情况。结果治疗组患者治疗效果、患者满意度及住院时间、肺复张情况均显著优于对照组，差异均只有统计学意义(P&l

2、t;0.05)；两组患者疼痛程度比较差异无统计学意义(P>0.05)。结论胸腔负压引流法治疗老年慢性阻塞性肺疾病合并自发性气胸的临床效果显著，不会给患者带来太多的疼痛,可缩短住院时间、肺复张情况也有明显改善，得到患者的一致好评，值得推广至相关临床。【关键词】慢性阻塞性肺疾病：自发性气胸：老年：治疗[Abstract]ObjectiveToinvestigatethediagnosisandtreatmentofchronicobstructivepulmonarydiseasecomplicatedwithspontaneouspneumothoraxin

3、elderlypatients.Methods90casesofchronicobstructivepulmonarydiseasecomplicatedwithspontaneouspneumothoraxinelderlypatients,theclinicaldatawereretrospectivelyanalyzed,andrandomlydividedintocontrolgroupandtreatmentgroup，45casesineachgroup.Onthebasisofroutinetreatment，thecontrolgroupwasg

4、iventhedeepveincatheter，andthetreatmentgroupwasgiventhenegativepressuredrainagetherapyonthebasisofconventionaltreatment.Comparedwiththetwogroupsofpatientswithtreatmenteffect,pain,patientsatisfactionandhospitalstay,pulmonaryrehabilitation.Resultsinthetreatmentgroup，thetreatmenteffect，

5、patientsatisfactionandhospitalstay，lungrecruitmentsituationweresignificantlybetterthanthecontrolgroupcomparedwithstatisticalsignificance(P<0.05).Thedifferencebetweenthetwogroupsofpatientswithpainwithoutstatisticalsignificance(P>0.05).Conclusionnegativepressureinthepleuralspaced

6、rainagetreatmentofelderlypatientswithchronicobstructivepulmonarydiseasecombinedwithspontaneouspneumothoraxinasignificantclinicaleffect,won'tbringtoomuchpaintothepatient,canshortenthehospitalizationtime,lungrecruitmentsituationhasimprovedsignificantly,withcommentsfrom,itisworthofclini

7、calpromotion.［Keywords］chronicobstructivepulmonarydisease；spontaneouspneumothorax；elderly；treatment慢性阻塞性肺疾病(chronicobstructivepulmonarydisease,COPD)属于气流阻塞特征的慢性支气管炎或肺气肿的常见慢性疾病［1］。自发性气胸指的是由于肺部疾病导致肺组织以及肺层胸膜破裂，又或因为靠近肺表面的肺人泡、细微气肿疱自行破裂，使肺部以及支气管内的空气逸入胸膜腔，它属于肺科急症，若得到及吋有效的治疗，可治愈［2］。当慢性阻塞性肺疾病并

8、发自发性气胸时，病情通常