改良16FR硅胶胸管胸腔闭式引流联合中心负压吸引治疗自发性气胸.docVIP

改良16FR硅胶胸管胸腔闭式引流联合中心负压吸引治疗自发性气胸 　　[摘要] 目的 探讨改良16FR硅胶胸管胸腔闭式引流联合中心负压吸引治疗自发性气胸的临床效果。 方法 将82例自发性气胸患者随机分为观察组和对照组各41例，观察组采用改良16FR硅胶胸管胸腔闭式引流联合中心负压吸引治疗，对照组采用传统外科胸腔引流管胸腔闭式引流治疗，评估两组的治疗效果及并发症情况，并随访3个月。 结果 观察组治愈率高于对照组（P0.05），肺复张时间及住院时间短于对照组（P0.05）；观察组并发生发生率为17.1%，对照组并发症发生率为56.1%，两组差异有统计学意义（P0.05）。 结论 16FR改良硅胶胸管胸腔闭式引流联合中心负压吸引治疗气胸临床疗效好，并发症少，值得在临床中推广。 　　[关键词] 自发性气胸；胸腔闭式引流；16FR硅胶胸管；中心负压吸引 　　[中图分类号] R561.4 [文献标识码] A [文章编号] 1674-4721（2014）09（c）-0043-03 　　Improved 16FR silicone chest tube thoracic drainage combined with center suction for the treatment of spontaneous pneumothorax 　　ZHOU Jian-hua LU Zhu-nian CHEN Feng WANG Hong-mei 　　The Second Department of Medicine，People′s Hospital of Dayu County in Jiangxi Province，Dayu 341500，China 　　[Abstract] Objective To study the clinical effect of improved 16FR silicone chest tube thoracic drainage combined with center suction for the treatment of spontaneous pneumothorax. Methods 82 patients with spontaneous pneumothorax were randomly divided into observation group and control group，41 cases in each group，improved 16FR silicone chest tube thoracic drainage combined with center suction was given to the observation group，traditional surgical chest tube thoracic drainage was given to the control group，therapeutic effect and complications of two groups were evaluated，and followed up for 3 months. Results The curative rate of observation group was higher than that of control group （P0.05），lung recruitment time and hospitalization time was shorter than that of the control group （P0.05）；the occurrence rate of application in observation group was 17.1%，lower than 56.1% of the control group，the difference was significant （P0.05）. Conclusion Improved 16FR silicone chest tube thoracic drainage combined with center suction for the treatment of spontaneous pneumothorax has good clinical curative effect，few complications，is worth popularization in clinic. 　　[Key words] Spontaneous pneumothorax；Thoracic drainage；Improved 16FR silicone chest tub