摘要
背景与目的胸外科术后常规会放置胸管行闭式引流排出胸腔内积气、积液促进肺复张,并且可以观察术后是否有活动性出血,是否有肺漏气现象。常规胸腔闭式引流外接水封瓶,通过观察引流情况、水柱波动来判断病情,是非常经典的方法。但是水封瓶有易倾覆、携带不便等缺点,不利于患者早期活动。在加速康复的理念下,本中心应用了新型无水胸腔负压引流装置,并取得了较好的效果。本研究旨在观察新型无水胸腔负压引流装置在胸外科术后患者中的应用效果。方法回顾性分析2018年1月-2019年12月在浙江大学医学院附属第一医院胸外科行肺部手术的患者,分成两组,一组患者使用传统胸腔闭式引流水封瓶作为对照组,另一组使用新型无水负压引流瓶作为实验组。统计患者的性别、年龄、高血压、糖尿病、吸烟史、手术切口和手术方式以及患者在院时间和术后住院时间。结果两组患者在年龄、性别、合并症(高血压、糖尿病、吸烟史)、手术范围、手术时间方面并无统计学差异,但是两组患者在手术使用切口方面存在着统计学差异(P=0.01)。使用新型无水负压引流器的患者无论在术后住院时间以及总住院时间方面都比有水负压引流器的患者短,差异有明显统计学意义(P=0.02,P=0.04)。结论新型无水胸腔负压引流装置对于胸外科术后快速康复推进有较好的作用。
Background and objective After general thoracic surgery,a chest tube is usually placed for closed drainage to expel gas accumulation in the thoracic cavity and fluid accumulation to promote lung re-expansion.It can also be observed whether there is active bleeding after the operation and whether there is a pulmonary leak.The conventional drainage of the chest cavity is connected with a water-sealed drainage bottle,and the patient condition is judged by observing the drain-age situation and the fluctuation of the water column,which is a very classic method.However,the water-sealed bottle has the disadvantages of being easy to overturn and inconvenient to carry,which is not conducive to the early activities of patients.Un-der the concept of accelerated rehabilitation,our center applied a new type of anhydrous thorax negative pressure drainage de-vice and achieved good results.The purpose of this study was to observe the effect of a new type of anhydrous thoracic negative pressure drainage device in patients after thoracic surgery.Methods Retrospective analysis of patients who underwent lung surgery in the First Affiliated Hospital of Zhejiang University Medical College from January 2018 to December 2019,patients were divided into two groups.One group of patients used a traditional closed-chest drainage water-sealed bottle as a control group,and the other group used a new type of anhydrous negative-pressure drainage bottle as an experimental group.Patients'gender,age,hypertension,diabetes,smoking history,surgical incisions and surgical methods,and the length of hospital stay and postoperative hospital stay were calculated.Results There were no statistical differences in age,gender,comorbidities(hypertension,diabetes,smoking history),scope of surgery,and duration of surgery between the two groups of patients,but there were statistical differences in surgical incisions between the two groups of patients(P=0.01).We found that patients us-ing the new waterless negative pressure drainage device were shorter than patients with water negative pressure drainage device in terms of postoperative hospital stay and total hospitalization time,and the difference was statistically significant(P=0.02,P=0.04).Conclusion The new type of anhydrous thoracic negative pressure drainage device has a good effect on the rapid re-covery and advancement after thoracic surgery.
作者
俞文峰
潘亮
张洁萍
叶芃
屠政良
吕望
胡坚
Wenfeng YU;Liang PAN;Jieping ZHANG;Peng YE;Zhengliang TU;Wang LV;Jian HU(Department of Thoracic Surgery,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China)
出处
《中国肺癌杂志》
CAS
CSCD
北大核心
2020年第6期509-513,共5页
Chinese Journal of Lung Cancer
基金
国家重点研发计划(No.2017YFC0113500)
浙江省重大科技专项计划项目(No.2014C03032)
浙江省肺部肿瘤诊治技术研究中心(No.JBZX-202007)
浙江省中医药(中西医结合)重点学科(No.2017-XK-A33)资助。
关键词
无水
负压
闭式引流
Anhydrous
Negative pressure
Closed drainage
