微创胸腔内闭式引流技术治疗创伤性气胸临床研究.docVIP

微创胸腔内闭式引流技术治疗创伤性气胸临床研究 　　[摘要] 目的 探究创伤性气胸患者接受微创胸腔内闭式引流技术医治干预后的临床效果。方法 方便选取在该院接受医治的创伤性气胸患者50例，选取时间为2015年10月―2017年4月，根据其就诊顺序的差异将患者分成两组，25例患者为一组。对照组患者接受传统胸腔闭式引流术医治干预；实验组患者接受微创胸腔内闭式引流技术进行医治干预。对两组患者经医治干预后的临床医治效果、术后疼痛评分以及医治满意度进行对比分析。结果 实验组创伤性气胸患者的临床医治总有效率为92.00%（23/25），高于对照组总有效率（68.00%），两组结果对比差异有统计学意义（χ2=4.500 0，P=0.034）；实验组患者在术后2、4、8、24 h的疼痛评分均优于对照组（P0.05）；实验组患者的总满意率为88.00%（22/25），高于对照组总满意率（60.00%），两组结果对比差异有统计学意义（χ2=5.093 6，P=0.024）。结论 创伤性气胸患者接受微创胸腔内闭式引流技术医治干预，可有效提高临床医治效果以及满意度，减轻患者术后疼痛感，临床效果明显。 　　[关键词] 微创胸腔内闭式引流技术；创伤性气胸；临床效果 　　[中图分类号] R561 [文献标识码] A [文章编号] 1674-0742（2018）03（b）-0089-03 　　Clinical Research on Minimally Invasive Closed Thoracic Drainage in Treatment of Traumatic Hemopneumothorax 　　QIN Shi-huan， WEI Kai， HUANG Yuan-lu 　　Department of Cardio-Thoracic Surgery， Baise People’s Hospital， Baise， Guangxi， 533000 China 　　[Abstract] Objective To research the clinical effect of minimally invasive closed thoracic drainage in treatment of traumatic hemopneumothorax. Methods 50 cases of patients with traumatic hemopneumothorax admitted and treated in our hospital from October 2015 to April 2017 were convenient selected and divided into two groups according to the admission order， with 25 cases in each， the control group received the traditional closed thoracic drainage， while the experimental group received the minimally invasive closed thoracic drainage， and the clinical treatment effect， postoperative pains scores and medical satisfactory degree were compared and analyzed. Results The total clinical treatment effective rate in the experimental group was higher than that in the control group[92.00%（23/25） vs 68.00%]（χ2=4.500 0， P=0.034）， and the pain scores at 2， 4， 8 h and 24 h after surgery in the experimental group were better than those in the control group（P0.05）， and the total satisfactory rate in the experimental group was higher than that in the control group[88.00%（22/25） vs 60.00%]（χ2=5.093 6， P=0.024）. Conclusion The minimally invasive closed thoracic