中心静脉导管闭式胸腔引流术治疗结核性胸膜炎

Central Venous Catheter Based Closed Thoracic Drainage in the Treatment of Tuberculous Pleuritis.

作者信息

Song Ling, Zhang Yueling, Jia Qiong

机构信息

Ling Song, Department of Cardiothoracic Surgery, Binzhou People's Hospital, Binzhou, 256610, China.

Yueling Zhang, Department of Operating room, Binzhou People's Hospital, Binzhou, 256610, China.

出版信息

Pak J Med Sci. 2019 Jul-Aug;35(4):1024-1029. doi: 10.12669/pjms.35.4.63.

DOI:10.12669/pjms.35.4.63

PMID:31372136

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6659076/

Abstract

OBJECTIVE

To explore the clinical effect of central venous catheter closed thoracic drainage in the treatment of tuberculous pleurisy.

METHODS

One hundred and four patients with tuberculous pleurisy who were admitted to Binzhou People's Hospital from August 2016 to August 2017 were divided into a control group and a treatment group according to random number table method, 52 each. The control group was treated with conventional pleural puncture and drainage, while the treatment group was treated with closed central venous catheter based thoracic drainage. The clinical efficacy, improvement time of clinical symptoms, total volume of drainage, pleural thickness, and improvement of quality of life and occurrence of adverse reactions were compared between the two groups.

RESULTS

Pleural effusion, fever and chest tightness of the treatment group disappeared earlier (P<0.05); the hospitalization time in the treatment group was less than that in the control group (P<0.05); the total amount of drainage in the treatment group was lower than that in the control group (P<0.05); the pleural thickness of the treatment group was higher than that in the control group (P<0.05); the quality of life score in the treatment group was significantly higher than that in the control group (P<0.05). The total effective rates of the treatment group and the control group were 93.5% and 85%, respectively, with a significant difference (P<0.05). The incidence of adverse reactions in the treatment group was significantly lower than that in the control group, with a significant difference (P<0.05).

CONCLUSION

Central venous catheter based closed thoracic drainage is more effective than conventional thoracic puncture and drainage in the treatment of tuberculous pleurisy. It can accelerate the improvement of clinical symptoms, improve the quality of life of patients, and reduce the incidence of complications. It is worth popularizing and applying.

摘要

目的

探讨中心静脉导管闭式胸腔引流术治疗结核性胸膜炎的临床效果。

方法

选取2016年8月至2017年8月在滨州市人民医院住院治疗的104例结核性胸膜炎患者，采用随机数字表法分为对照组和治疗组，每组52例。对照组采用传统胸腔穿刺抽液治疗，治疗组采用中心静脉导管闭式胸腔引流术治疗。比较两组患者的临床疗效、临床症状改善时间、引流量、胸膜厚度、生活质量改善情况及不良反应发生情况。

结果

治疗组胸腔积液、发热、胸闷等症状消失时间较早（P<0.05）；治疗组住院时间短于对照组（P<0.05）；治疗组总引流量低于对照组（P<0.05）；治疗组胸膜厚度高于对照组（P<0.05）；治疗组生活质量评分显著高于对照组（P<0.05）。治疗组和对照组总有效率分别为93.5%和85%，差异有统计学意义（P<0.05）。治疗组不良反应发生率显著低于对照组（P<0.05）。