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目的:通过对西宁地区运用改良胸腔引流术治疗胸腔积液的疗效评价及临床意义分析,进一步优化西宁地区胸腔积液的治疗。方法:收集2013年1月1日—2016年1月1日在我科行胸腔改良引流术患者173例,同时又随机收集行常规胸腔闭式引流术患者150例,分别为改良胸腔引流术组与常规胸腔闭式引流术组,通过比较两组疗效、置管时间、患者的疼痛程度、并发症等来评价其优越性。结果:两组的疗效及引流时间无显著性差异(P>0.05)。改良胸腔引流术患者术后并发症、术后疼痛较常规胸腔闭式引流术组患者明显减少,两组数据有统计学意义(P<0.05)。结论:胸腔改良引流术安全性高、疼痛较小、并发症较少,适合多部位置管引流,此方法更适合西宁地区体质较弱且多发包裹积液患者。
Objective: To further improve the treatment of pleural effusion in Xining area by evaluating the curative effect and clinical significance of the treatment of pleural effusion in Xining area. Methods: A total of 173 patients undergoing modified drainage in the thoracic cavity of our hospital from January 1, 2013 to January 1, 2016 were collected. At the same time, 150 patients with conventional thoracic drainage were collected randomly, which were modified thoracic drainage group Compared with the conventional closed thoracic drainage group, the superiority of the two groups was evaluated by comparing the curative effect, the time of catheterization, the degree of pain of the patients and complications. Results: There was no significant difference between the two groups in curative effect and drainage time (P> 0.05). The postoperative complications and postoperative pain were significantly reduced in the patients with improved thoracic drainage than those with the conventional closed thoracic drainage. The data of two groups were statistically significant (P <0.05). Conclusion: Thoracic drainage and drainage is safe, less painful and less complication. It is suitable for multi-site drainage. This method is more suitable for patients with weaker constitutional and fluid in Xining.