| 廖洪亮,万仁平,梁雅琴,黄淼龙,陈慧勇,甘 稳,夏子怡,刘漪沦.中心静脉导管引流对单孔胸腔镜肺癌根治术患者术后胸腔引流的应用分析[J].,2020,(15):2887-2890 |
| 中心静脉导管引流对单孔胸腔镜肺癌根治术患者术后胸腔引流的应用分析 |
| Application of Central Venous Catheter Drainage in Postoperative Thoracic Drainage of Lung Cancer Patients Undergoing Single Hole Thoracoscopic Surgery |
| 投稿时间：2020-02-23 修订日期：2020-03-18 |
| DOI：10.13241/j.cnki.pmb.2020.15.017 |
| 中文关键词: 中心静脉导管引流 传统引流 单孔胸腔镜肺癌根治术 胸腔引流 |
| 英文关键词: Central venous catheter drainage Traditional drainage Single hole thoracoscopic radical surgery for lung cancer Thoracic drainage |
| 基金项目:国家自然科学基金面上项目（81570558）；广东省医学科技研究基金项目（WSTJJ20030501440225196206177934） |
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| 中文摘要: |
| 摘要 目的：探讨中心静脉导管引流对单孔胸腔镜肺癌根治术患者术后胸腔引流的应用效果。方法：回顾性选取2019年1月至2019年12月期间我院收治的行单孔胸腔镜肺癌根治术患者80例的临床资料，根据引流方式的不同分为A组（n=40，传统引流）和B组（n=40，中心静脉导管引流），对比两组患者临床指标、生活质量、炎性因子及并发症发生情况。结果：B组引流操作时间、术后住院时间短于A组（P<0.05）。两组术后3个月生活质量简表（SF-36）各维度评分均较术前升高，且B组高于A组（P<0.05）。两组术前、术后3d、术后7d白介素-6（IL-6）、C反应蛋白（CRP）、肿瘤坏死因子-α（TNF-α）呈先升高后下降趋势，且术后3d、术后7d B组以上指标低于A组（P<0.05）。两组术后并发症发生率比较无差异（P>0.05）。结论：与传统引流相比，单孔胸腔镜肺癌根治术患者术后采用中心静脉导管引流，效果显著，可减少炎性刺激，安全可靠，有效改善患者术后生活质量。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of central venous catheter drainage on postoperative thoracic drainage in patients with lung cancer undergoing single hole thoracoscopic surgery. Methods: The clinical data of 80 patients with lung cancer who were treated by single hole thoracoscopic radical surgery from January 2019 to December 2019 were retrospectively selected. According to the different drainage methods, they were divided into group A (n=40, traditional drainage) and group B (n=40, central venous catheter drainage). The clinical indicators, quality of life, inflammatory factors and complications of the two groups were compared. Results: The operation time and postoperative hospitalization time of group B were shorter than that of group A (P<0.05). The scores of quality of life (SF-36) in the two groups were higher than those before operation at 3 months after operatiob, and those in group B were higher than those in group A (P<0.05). The levels of interleukin-6 (IL-6), C-reactive protein (CRP), tumor necrosis factor-α (TNF-α) in the two groups increased first and then decreased at 3d and 7d after operation, and the group B were lower than those in the group A(P<0.05). There was no difference in the incidence of postoperative complications between the two groups (P>0.05). Conclusion: Compared with the traditional drainage, the central venous catheter drainage can reduce the inflammatory stimulation and improve the quality of life. |
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