摘要
目的探讨肺萎陷疗法治疗自发性气胸的可行性。方法106例自发性气胸患者随机分为观察组、传统组,比较两种不同的方法对治疗自发性气胸的效果、肺组织完全复张时间、住院天数、镇痛药使用。结果传统组总成功率47.17%,肺组织完全复张时间为(7±2.5)d,住院天数(12±2.0)d,需要使用镇痛药35例;观察组总成功率83.01%,肺组织完全复张时间为(7±3.5)d,住院天数(11±3.0)d,需要使用镇痛药15例,观察组总成功率明显高于传统组(P<0.05),镇痛药使用率传统组明显高于观察组,肺完全复张时间、住院时间、两组间无明显差异(P>0.05),观察组治愈率高、病人痛苦少。结论肺萎陷疗法治疗气胸比传统方法更适合自发性气胸患者,对于不稳定型自发性气胸临床上可以使用肺萎陷疗法代替传统的负压吸引治疗。
Objecitve To discuss lung collapse therapy for spontaneous pneumothorax（sp） feasibility. Methods We derided 106 patients with sp at random into study group and conventional group and compared the cure effect, complete lung reexpansion time, hospitalization time and analgesties use rate between two treatment methods for sp. Results In the conventional group,the total cure rate was 47.17%,the complete lung reexpansion time was（7 ± 2.5）days, the hospitalization time was（ 12 ± 2.0）days and 35 cases needed analgestics. In the study group, the total cure rate was 83.01%,the complete lung reexpansion time was（7 ± 3.5 ）days,the hospitalization time was（ 11 ± 3.0）days and 15 cases needed analgestics. The total sueeess rate of the study group was significantly higher than that of conventional group（P 〈 0.05）, while analgestcis use rate of the conventional group was significantly higher than that of the study group .There was no significant differeace betwean the two group in complete lung reexpansion time and hospitalizatin time （P 〉 0.05）. The study group had the advantage of higher cure rate and less pain. Conclusion Lung collapse therapy is more suitable for patients with sp compared with the conventional method, and the therapy can be clinically used for unstable type of sp instead of conventional negative sucking.
出处
《中国现代医生》
2009年第21期9-10,共2页
China Modern Doctor
关键词
肺萎陷疗法
自发性气胸
可行性
Lung collapse therapy
Spontaneous pheamothorax
Feasibility
