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目的:探讨中心静脉导管引流在自发性气胸治疗中的临床效果。方法:选择我院2009年12月—2010年10月收治的自发性气胸患者112例,随机分为两组,对照组56例采用传统闭式引流治疗,观察组56例采用中心静脉导管引流治疗,比较两组患者的临床治疗情况。结果:观察组总有效率为98.2%,略高于对照组的94.6%,两组间差异无统计学意义(P>0.05);观察组的置管时间、伤口愈合时间明显短于对照组,两组间差异有统计学意义(P<0.05);观察组的不良反应发生率为1.8%,明显低于对照组的8.9%,两组间差异有统计学意义(P<0.05)。结论:中心静脉导管引流在自发性气胸治疗中的效果更佳,患者恢复快且减少了不良反应的发生,值得临床关注。
Objective: To investigate the clinical effect of central venous catheter drainage in the treatment of spontaneous pneumothorax. Methods: A total of 112 patients with spontaneous pneumothorax admitted in our hospital from December 2009 to October 2010 were randomly divided into two groups. 56 patients in the control group received traditional closed drainage and 56 patients in the observation group received central venous catheter drainage , Comparing the clinical treatment of two groups of patients. Results: The total effective rate in the observation group was 98.2%, slightly higher than 94.6% in the control group, with no significant difference between the two groups (P> 0.05). The catheterization time and wound healing time in the observation group were significantly shorter than those in the control group, The difference between the two groups was statistically significant (P <0.05). The adverse reaction rate in the observation group was 1.8%, which was significantly lower than that in the control group (8.9%). There was significant difference between the two groups (P <0.05). CONCLUSION: Central venous catheter drainage is more effective in treating spontaneous pneumothorax and patients recover faster and reduce the incidence of adverse reactions, which deserves clinical attention.