胸腔闭式引流并注入尿激酶治疗胸腔积液的效果观察.docVIP

胸腔闭式引流并注入尿激酶治疗胸腔积液的效果观察 ［摘要］目的 探讨胸腔闭式引流并注入尿激酶治疗胸腔积液的效 果。方法选择2013年1月?2014年3月来木院就诊的110例结核性胸 腔积液患者作为研究对象，根据治疗方法的不同，将所有患者按随机抽样 的方法分为实验组和对照组，对照组胸腔闭式引流后不作其余处理，实验 组在安装胸腔闭式引流管后，在胸腔内通过引流管注射尿激酶。1个疗程 后通过超声或CT确定胸腔积液程度，化验胸腔积液引流液屮的成分，进 行疗效评价。结果治疗前，两组患者胸腔积液中的蛋白质、白细胞浓度 差异无统计学意义（P0?05）,实验组治疗后胸腔积液中的蛋白质、白细 胞浓度较对照组均明显下降（P0.05）o实验组的总有效率为98. 2%；对照 组为74. 5%,两组的总有效率差异有统计学意义（P〈0.05）。结论 胸腔闭 式引流并注入尿激酶治疗胸腔积液的效果明显好于传统单纯胸腔闭式引 流，效果显著，值得临床推广。 ［关键词］胸腔闭式引流；尿激酶；胸腔积液 ［中图分类号］R561.3 ［文献标识码］A ［文章编号］1674-4721 (2015) 05 (c) -0085-03 ［Abstract］ Objective To explore the effect of thoracic close drainage combined with urokinase injection treating pleural effusion. Methods From January 2013 to March 2014, 110 patients with tuberculous pleural effusion treated in our hospital were selected all patients were randomly divided into experimental group and control group according to random sampling method. In control group, no further treatment was applied after thoracic closed drainage, while in experimental group, after installation of thoracic drainage tube, urokiriase was injected through drainage tube. The level of pleural effusion was determined by ultrasound or CT after 1 course of treatmenl, and components of drainage fluid in pleural effusion was tested aiming at effect evaluation. ResuIts Before treatment, there was no statistical difference of protein and white blood cell concentration in pleural fluid of patients in two groups (P0. 05) ? After treatment, protein and white blood cell concentration in pleural fluid in experimental group was greatly decreased compared with that in control group respectively ( P0. 05 ) . The total effective rate in experimental group was 98. 2%, while in control group, the total effective rate was 74.5%，which displayed a statistical differenee (P0.05)? Conclusion Effect of thoracic close drainage combined with urokinase injection treating pleural effusion is significantly better than traditional thoracic close drainage alone .It obtains a remarkable effect, and is worthy of