Gholami Ehsan, Sharifzadeh Gholamreza, Vahedi Matin, Samimiat Alireza, Eslamian Reza, Ebrahimpour Hossein
Student Research Committee, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran.
Department of Epidemiology and Biostatistics, School of Health, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Kardiochir Torakochirurgia Pol. 2024 Sep;21(3):162-166. doi: 10.5114/kitp.2024.143489. Epub 2024 Sep 25.
Chest tube insertion is one of the essential procedures that is performed for patients suffering from pneumothorax or pleural effusion. Choosing the best chest tube size, with maximum emptying and minimum discomfort and side effects, is one of the most important factors in patient care, while the best tube size is highly a matter of debate. In this investigation, we aimed to assess the difference between the groups with different chest tube sizes regarding the time needed for drainage, the necessity of additional invasive procedures, or pain severity.
In this cross-sectional study, patients with pleural effusion, were entered into the study. patients were randomly divided into two groups based on their chest tube size: size 28 and size 32. Then, the duration of complete effusion emptying and the duration of the chest tube insertion was evaluated.
According to this study, 26 (65.0%) participants were male. The duration for complete evacuation of pleural effusion varied from 3 to 10 days. The average duration of chest tube retention in the group of patients with chest tube sized 28 and 32 were 5.82, and 5.91 days, respectively; The average pain intensity in the group of patients with chest tube sized 28 and 32 were 6.71 ±1.02 and 6.48 ±1.21 units, respectively.
There was no significant difference in how long the chest tube needed to stay in place to fully drain the pleural effusion. They also didn't differ significantly in the need for additional invasive procedures such as VATS, and secondary chest tube insertion. There was no notable difference for pain severity and the need for painkillers in the two groups of patients.
胸腔闭式引流管置入术是气胸或胸腔积液患者的基本治疗手段之一。选择最佳的胸腔闭式引流管尺寸，以实现最大程度的引流、最小的不适和副作用，是患者护理中最重要的因素之一，而最佳的引流管尺寸一直存在很大争议。在本研究中，我们旨在评估不同尺寸胸腔闭式引流管在引流所需时间、额外侵入性操作的必要性或疼痛严重程度方面的差异。
在这项横断面研究中，纳入了胸腔积液患者。根据胸腔闭式引流管尺寸将患者随机分为两组：28号和32号。然后，评估胸腔积液完全排空的持续时间和胸腔闭式引流管置入的持续时间。
根据本研究，26名（65.0%）参与者为男性。胸腔积液完全排空的持续时间为3至10天。胸腔闭式引流管尺寸为28号和32号的患者组中，胸腔闭式引流管留置的平均持续时间分别为5.82天和5.91天；胸腔闭式引流管尺寸为28号和32号的患者组中，平均疼痛强度分别为6.71±1.02和6.48±1.21单位。
胸腔闭式引流管为完全引流胸腔积液所需留置的时间没有显著差异。在是否需要额外的侵入性操作（如电视辅助胸腔镜手术和二次胸腔闭式引流管置入）方面也没有显著差异。两组患者在疼痛严重程度和使用止痛药的必要性方面没有显著差异。
