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目的研究与探讨老年慢性阻塞性肺疾病合并自发性气胸的诊治方法以及效果。方法 90例慢性阻塞性肺疾病合并自发性气胸老年患者,随机分为对照组和治疗组,每组45例。对照组在常规治疗的基础上实施深静脉置管抽气疗法,治疗组在常规治疗的基础上给予胸腔负压引流疗法。对比两组患者治疗效果、疼痛程度、患者满意度及住院时间、肺复张情况。结果治疗组患者治疗效果、患者满意度及住院时间、肺复张情况均显著优于对照组,差异均具有统计学意义(P<0.05);两组患者疼痛程度比较差异无统计学意义(P>0.05)。结论胸腔负压引流法治疗老年慢性阻塞性肺疾病合并自发性气胸的临床效果显著,不会给患者带来太多的疼痛,可缩短住院时间、肺复张情况也有明显改善,得到患者的一致好评,值得推广至相关临床。
Objective To study and discuss the diagnosis and treatment of elderly patients with chronic obstructive pulmonary disease complicated with spontaneous pneumothorax and their effects. Methods 90 patients with chronic obstructive pulmonary disease combined with spontaneous pneumothorax elderly patients were randomly divided into control group and treatment group, 45 cases in each group. Control group in the conventional treatment based on the implementation of deep vein catheterization therapy, the treatment group on the basis of conventional treatment given to the chest negative drainage therapy. Compare the two groups of patients treatment effect, degree of pain, patient satisfaction and length of stay, pulmonary recanalization. Results The treatment effect, patient satisfaction, hospital stay and lung recruitment in the treatment group were significantly better than those in the control group (P <0.05). There was no significant difference in pain between the two groups (P > 0.05). Conclusion The treatment of chronic obstructive pulmonary disease in the elderly with pneumothorax negative drainage has significant clinical effect in patients with spontaneous pneumothorax, will not bring too much pain to patients, can shorten the length of hospital stay, pulmonary recanalization also significantly improved, patients were consistent Praise, it is worth promoting to the relevant clinical.