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目的探讨中心静脉导管闭式引流加持续负压吸引治疗气胸的疗效和安全性及患者的依从性。方法收集来我院就诊的气胸患者93例,分为常规治疗的对照组46例,治疗组47例为中心静脉导管胸腔闭式引流术加持续负压吸引治疗。结果治疗组有治愈率为93.6%,对照组治愈率为81.5%,差异有统计学意义(P<0.05),且治疗组患者能显著降低患者皮下水肿、发热、疼痛等反应,还能显著减少治疤痕遗留,住院天数显著降低,复发率显著降低,具有更好的患者依从性。结论中心静脉导管胸腔闭式引流术加持续负压吸引治疗非阻塞性气胸具有突出的优点,临床疗效有保障,操作简便,并发症少,值得推广借鉴。
Objective To investigate the curative effect and safety of central venous catheter with continuous drainage plus continuous suction to treat pneumothorax and its compliance. Methods Ninety-three patients with pneumothorax who were treated in our hospital were divided into the control group (n = 46) and the treatment group (n = 47). The patients in the treatment group received thoracic closed drainage plus continuous negative pressure therapy. Results The cure rate was 93.6% in the treatment group and 81.5% in the control group, the difference was statistically significant (P <0.05), and the treatment group patients could significantly reduce the subcutaneous edema, fever, pain and other reactions, but also significantly reduced Left over scar treatment, hospital days significantly reduced the recurrence rate was significantly reduced, with better patient compliance. Conclusion Central venous catheter thoracic drainage and sustained negative pressure suction treatment of non-obstructive pneumothorax has outstanding advantages, clinical efficacy is guaranteed, easy to operate, fewer complications, it is worth to promote reference.