摘要
目的 探讨开胸食管癌手术后中心静脉导管用于胸腔引流（胸引）在减轻患者术后疼痛、提高术后生活质量等方面的优势,评价该引流方法的有效性、安全性.方法 搜集2016年8月至2017年8月期间需行开胸手术的食管癌患者95例,其中男71例,女24例,平均年龄（61.25±1.25）岁.按照引流方式分为试验组（46例）和对照组（49例）,试验组采用中心静脉导管行胸腔引流,对照组采用常规胸腔闭式引流,对比两组胸引量、疼痛评分、术后生活质量评分、胸引管留置时间、胸引管切口愈合情况等指标.结果 两组在每天引流量、引流管通畅度方面差异无统计学意义（P〉0.05）.与对照组相比,试验组置管天数短,疼痛评分低,生活质量评分中情绪功能好,差异均有统计学意义（P〈0.01）.同时,试验组恶心、呕吐、失眠、疼痛等症状的发生比例明显少于对照组（P〈0.05）.结论 中心静脉导管用于开胸食管癌手术后的胸腔引流可明显减少患者术后不适与疼痛,提高术后生活质量,安全可行,是一种值得推广的开胸食管癌术后胸腔引流模式.
Objective To explore the safety and effectiveness of central venous catheter for thoracic drainage after esoph-agectomy.Methods We prospectively analyzed 95 patients who underwent esophagectomy for esophageal carcinoma in our de-partment from August 2016 to August 2017.Forty-six patients with central venous catheter drainage were observation group, and 49 patients with traditional chest-tube closed drainage were control group.Compared the differences of drainage amount, pain score, postoperative patient quality of life score, duration of drainage and chest tube incision healing between the two groups.Results There were no significant differences in daily drainage volume and patency of drainage tube between the two groups（P〉0.05）.Compared with the control group, the duration of thoracic drainage in the observation group was significant shorter, the pain intensity score was significant lower , and the emotional function of postoperative patient quality of life was sig-nificant better（P〈0.01）.There were more patients suffered uncomfortable symptoms, such as nausea, vomiting, pain, in-somnia in the control group（P〈0.05）.Conclusion The application of central venous catheter in thoracic drainage can de-crease the postoperative pain and improve the postoperative quality of life for esophageal carcinoma patients after esophagecto-my.It is safe and feasible for thoracic drainage after esophagectomy .
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2018年第1期36-39,共4页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
食管肿瘤
中心静脉导管
引流术
胸外科手术
Esophageal neoplasms Central venous catheter Drainage Thoracic surgical procedures
