摘要
目的:探讨带导向和固定装置的双腔中心静脉导管(CVC)胸腔闭式引流术对胸腔镜肺叶切除术非小细胞肺癌(NSCLC)患者预后的影响。方法:回顾性分析2018年1月-2020年12月在承德县医院行胸腔镜肺叶切除术的80例NSCLC患者的临床资料,按照术后引流方式分为传统组与双腔CVC组,每组40例。比较两组围术期相关指标、疼痛及术后并发症情况。结果:双腔CVC组的引流管留置时间、术后ICU停留时间、术后住院时间分别为(2.25±0.68)d、(23.76±5.41)h、(3.42±0.85)d,均短于传统组的(4.79±1.03)d、(46.35±10.28)h、(5.79±1.14)d,差异均有统计学意义(P<0.05)。双腔CVC组的住院费用为(4.26±0.80)万元,少于传统组的(6.75±1.14)万元,差异有统计学意义(P<0.05)。术后24、48、72 h,双腔CVC组的疼痛评分为(3.42±1.26)、(3.07±0.82)、(2.89±0.71)分,均低于传统组的(6.65±1.40)、(5.14±1.15)、(4.46±1.02)分,差异均有统计学意义(P<0.05)。双腔CVC组的止痛药使用(2.06±0.45)次,少于传统组的(4.37±0.96)次,差异有统计学意义(P<0.05)。两组手术时间、术中出血量、术后并发症发生率比较,差异均无统计意义(P>0.05)。结论:带导向和固定装置的双腔CVC胸腔闭式引流术能有效缩短胸腔镜肺叶切除术NSCLC患者的引流管留置时间、术后ICU停留时间及住院时间,减少住院费用,缓解疼痛,安全性高。
Objective:To investigate the effect of closed thoracic drainage with double-cavity central venous catheter with guiding and fixing devices on prognosis of patients with non-small cell lung cancer (NSCLC) undergoing thoracoscopic lobectomy.Method:The clinical data of 80 patients with NSCLC who underwent thoracoscopic lobectomy in Chengde County Hospital from January 2018 to December 2020 were retrospectively analyzed.According to the way of postoperative drainage,the patients were divided into the traditional group and the double-cavity CVC group,with 40 cases in each group.Perioperative indicators,pain and postoperative complications were compared between two groups.Result:The drainage tube indenture time,postoperative ICU stay time and postoperative hospital stay in the double-cavity CVC group were (2.25±0.68) d,(23.76±5.41) h,(3.42±0.85) d,respectively,which were shorter than (4.79±1.03) d,(46.35±10.28) h,(5.79±1.14) d in the traditional group,the differences were statistically significant (P<0.05).The hospitalization cost in the double-cavity CVC group was (4.26±0.80) ten thousand yuan,which was lower than (6.75±1.14) ten thousand yuan in the traditional group,the difference was statistically significant (P<0.05).After 24,48,72 h of surgery,the pain scores in the double-cavity CVC group were (3.42±1.26),(3.07±0.82),(2.89±0.71) points,which were lower than (6.65±1.40),(5.14±1.15),(4.46±1.02) points in the traditional group,the differences were statistically significant (P<0.05).The analgesic use in the double-cavity CVC group was (2.06±0.45) times,which was less than (4.37±0.96) times in the traditional group,the difference was statistically significant (P<0.05).There were no statistically significant differences in operative time,intraoperative blood loss and postoperative complication rate between the two groups (P>0.05).Conclusion:The closed thoracic drainage with double-cavity CVC with guiding and fixing devices could effectively shorten the drainage tube indwelling time,postoperative ICU stay time and hospital stays,reduce hospitalization costs,relieve pain of NSCLC patients undergoing thoracoscopic lobectomy,with high safety.
作者
任继美
李春香
邬会超
杨尊
栾德义
REN Jimei;LI Chunxiang;WU Huichao;YANG Zun;LUAN Deyi(Chengde County Hospital,Chengde 067400,China;不详)
出处
《中外医学研究》
2022年第4期105-108,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
胸腔镜肺叶切除术
非小细胞肺癌
中心静脉导管
双腔
胸腔闭式引流术
预后
Thoracoscopic lobectomy
Non-small cell lung cancer
Central venous catheter
Double-cavity
Closed thoracic drainage
Prognosis
