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目的:观察超声引导下胸腔穿刺抽液合中药离子导入对胸膜粘连术后发生多房性胸腔积液的影响。方法:60例患者按治疗顺序随机分为治疗组和对照组各30例。对照组采取B超引导下胸腔穿刺抽液治疗,治疗组采取B超引导下胸腔穿刺合局部中药煎剂离子导入的方法治疗4周,计算胸水量,胸腔穿刺次数,卡氏评分变化。结果:治疗组胸水生成速度(总抽液量)、抽液次数少于对照组[分别为(1 910±336)mL,(3.47±1.31)次,对照组为(2 615±321)mL,(4.28±1.76)次],生存质量有较大提高(P<0.01)。结论:B超引导下多房多次穿刺配合益气扶正抗癌、活血散结利水中药离子导入治疗,胸水吸收明显。
OBJECTIVE: To observe the effect of ultrasound-guided thoracentesis and draw-off combined with iontophoresis on multilocular pleural effusion after pleurodesis. Methods: Sixty patients were randomly divided into treatment group and control group according to the treatment sequence of 30 cases. The control group was treated by B-ultrasonography under thoracentesis. The treatment group was treated with B-guided thoracentesis and partial iontophoresis with traditional Chinese medicine for 4 weeks. The changes of pleural effusion, thoracentesis, and Karnofsky score were calculated. Results: The rate of pleural effusion (total fluid withdrawal) and the number of fluid extraction in the treatment group were less than those in the control group [(1 910 ± 336) mL, (3.47 ± 1.31), and control group (2 615 ± 321) mL, (4.28 ± 1.76) times], and the quality of life was greatly improved (P <0.01). Conclusion: B-guided multi-room multi-puncture with Yiqi Fuzheng anticancer, Chinese medicine Huoxue Sanjie Li iontophoresis treatment, pleural effusion significantly.