不同部位行胸腔闭式引流治疗自发性气胸的临床研究

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1、值于各时间点均高于研究组，两组比较有统计学差异（P＜0.05）；术后口服盐酸曲马多缓释片用量，对照组高于研究组，两组比较有统计学差异（P＜0.05）。男女亚组在疼痛程度评分、盐酸曲马多缓释片用量上比较，男性普遍高于女性，组内比较无统计学差异（P＞0.05），组间同性别之间比较有统计学差异（P＜0.05）。5．对照组与研究组术后脱管、皮下气肿发生率比较，对照组高于研究组，两组比较有统计学差异（P＜0.05）；在术后发生胸腔感染例数上，两组比较无统计学差异（P＞0.05）。6．对照组与研究组患者检测入院及术后6、12及24小时点血清肌红蛋白量，入院时两组比较无统计学差异（P＞0.05）；术后6

2、小时点研究组明显低于对照组，两组比较有统计学差异（P＜0.05）；而12及24小时点，两组比较无统计学差异（P＞0.05）。术后24小时评估术侧肩关节活动度，研究组明显优于对照组，两组比较有统计学差异（P＜0.05）；术后30天评估患者对切口瘢痕的满意度，研究组明显优于对照组，两组比较有统计学差异（P＜0.05）。结论1．研究组手术时间及局部麻醉药用量均低于对照组，治愈率稍优于对照组，故研究组采用的置管部位安全可行、效果确切。2．研究组术后引流管脱管、皮下气肿发生率均明显低于对照组，术后术侧肩关节活动度、切口满意度均优于对照组，故研究组采用的置管部位值得临床推广应用。关键词胸腔闭式引流；自

3、发性气胸；治疗4万方数据AbstractTheclinicaltrialsofclosedthoracicdrainageintodifferentintercostalsinthetreatmentofspontaneouspneumothoraxObjectiveTodiscussthemethodsandthecurativeeffectofdifferentintercostalclosedthoracicdrainageinthetreatmentofspontaneouspneumothorax,andtoseekthemethodsofreducepostoperativec

4、omplications.MethodsFromMarch,2010toMarch,2013,110patientswithspontaneouspneumothoraxwereenrolledinthestudy.ThepatientswerereceivedclosedthoracicdrainageinthedepartmentthoracicsurgicalofChenZhouNo.1People’shospitalinHunanprovince.Allthepatientsenrolledweredividedintothecontrolgroupandthestudygroup

5、randomly，with55patientsineachgroup.110patientsunderwentchestCTexaminationshowedpneumothoraxgreaterthan40%.Thepatientsinthecontrolgroupweretreatedwithclosedthoracicdrainageatthesecondintercostalofmidclavicularline.Thepatientsinthestudygroupweretreatedatthirdintercostalspaceofanterioraxillaryline.Co

6、mparativeanalysiswithoperationtime,theamountofanestheticsdrug,postoperativedrainagetubeplacementtime,postoperativehealingandprognosis,hospitalizationtimeandthecomplications(postoperativepainscore,drainagetubeofftheincision,subcutaneousemphysema,chestinfection)postoperativeserummyoglobin(Myo),upper

7、limbactivityaftersurgery,postoperativewoundsatisfactionbetweenthetwogrouoswereperformed.Result1.Thecontrolgroupandstudygroupinage,gender,bodymassindexandtheextentofpneumothoraxwasnosignificantdifference(P>0.05).2