肺结核患者术后胸腔感染采用胸腔镜留置浸洗治疗的临床研究

发布时间：2018-04-21 06:22

本文选题：胸腔镜 + 胸腔留置浸洗　；参考：《中华医院感染学杂志》2014年17期

【摘要】：目的探讨对肺结核术后重症胸腔感染患者采用胸腔镜下胸腔留置浸洗治疗的临床效果,以期提高临床对肺结核术后发生重症胸腔感染患者的诊治水平。方法选取在医院诊治的肺结核术后重症胸腔感染患者42例,随机分为观察组和对照组,各21例,观察组采取胸腔镜下胸腔留置浸洗,对照组采取胸腔镜下胸腔冲洗,比较两组临床效果。结果治疗总有效率观察组为100.00%、对照组为90.48%,观察组总有效率高于对照组,差异有统计学意义(P0.05);观察组及对照组平均治愈时间(30.15±3.91)d及(75.76±4.19)d,平均住院时间(33.81±3.11)d及(78.93±4.31)d,观察组平均治愈时间和平均住院时间明显短于对照组,差异有统计学意义(P0.05);观察组中不伴有支气管胸膜瘘患者及伴有支气管胸膜瘘患者平均治愈时间(26.15±1.87)d及(32.15±1.99)d,平均住院时间(30.37±1.01)d及(36.09±1.21)d,不伴有支气管胸膜瘘患者平均治愈时间及平均住院时间明显短于伴有支气管胸膜瘘患者,差异有统计学意义(P0.05)。结论对肺结核术后重症胸腔感染患者采取胸腔镜下胸腔留置浸洗治疗的效果显著,可有效缩短治愈时间及住院时间,减少患者经济负担。
[Abstract]:Objective to investigate the clinical effect of thoracoscopic indwelling and soaking in patients with severe thoracic infection after pulmonary tuberculosis operation, and to improve the clinical diagnosis and treatment of severe thoracic infection after pulmonary tuberculosis. Methods 42 patients with severe thoracic infection after pulmonary tuberculosis operation in hospital were randomly divided into two groups: the observation group and the control group, 21 cases each. The observation group was treated with thoracoscopic indwelling and the control group was treated with thoracoscopic thoracic lavage. To compare the clinical effect between the two groups. Results the total effective rate of treatment was 100.00g in the observation group and 90.48 in the control group. The total effective rate of the observation group was higher than that of the control group. The average cure time and average hospitalization time of the observation group and the control group were 30.15 卤3.91 and 75.76 卤4.19 days, respectively, and the average hospitalization time were 33.81 卤3.11 and 78.93 卤4.31 days, respectively. The average cure time and the average hospitalization time in the observation group were significantly shorter than those in the control group. The average cure time of patients without bronchopleural fistula and with bronchopleural fistula was 26.15 卤1.87 days and 32.15 卤1.99 days, the average hospitalization time was 30.37 卤1.01 days and 36.09 卤1.21 days, and the average cure time of patients without bronchopleural fistula was 30.37 卤1.01 and 36.09 卤1.21 days. The average length of hospitalization was significantly shorter than that in patients with bronchopleural fistula. The difference was statistically significant (P 0.05). Conclusion the effect of thoracoscopic indwelling and soaking for patients with severe thoracic infection after pulmonary tuberculosis operation is remarkable, which can effectively shorten the time of cure and hospitalization, and reduce the economic burden of patients.
【作者单位】：琼海市人民医院心胸外科;牡丹江医学院附属第二医院;
【基金】：海南省自然科学基金资助项目(2013-813172)
【分类号】：R521

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