摘要
目的:观察不同孔数下的电视胸腔镜手术治疗自发性气胸的临床效果以及对患者动脉血气指标、疼痛情况的影响。方法:选取2021年1月—2022年6月襄城县人民医院收治的123例自发性气胸患者作为研究对象,应用抽签法将采用传统三孔胸腔镜手术治疗的61例患者列为对照组,将采用单孔胸腔镜手术治疗的62例患者列为观察组,比较两组患者的手术情况、术前术后动脉血气指标以及疼痛情况,对所有患者开展为期半年随访,统计并对比随访期间的手术相关并发症发生情况。结果:在不同手术方式下,观察组的手术耗时、术中出血量、术后引流量、术后机械通气时间均低于对照组,差异有统计学意义(t=3.328、3.819、3.869、2.969,P<0.05);术后,观察组的皮质醇(Cor)、血管紧张素Ⅱ(AT-Ⅱ)、视觉模拟量表(VAS)评分低于对照组,差异有统计学意义(t=2.737、3.304、6.164,P<0.05);术后,观察组的血氧饱和度(SaO_(2))、动脉氧分压(PaO_(2))高于对照组,动脉二氧化碳分压(PaCO_(2))低于对照组,差异有统计学意义(t=4.541、2.915、3.411,P<0.05);随访期间,观察组的手术相关并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.884,P<0.05)。结论:对自发性气胸患者实施单孔胸腔镜手术可提高手术效率,并能缓解术后疼痛同时有效改善动脉血气指标。
Objective:To observe the clinical effect of video-assisted thoracoscopic surgery on spontaneous pneumothorax under different hole numbers,and the influence on arterial blood gas index and pain of patients.Methods:123 patients with spontaneous pneumothorax admitted to the hospital from January 2021 to June 2022 were selected as the study object.The patients were divided into groups by drawing lots.61 patients treated with traditional three-hole thoracoscopic surgery were included in the control group,and 62 patients treated with single-hole thoracoscopic surgery were included in the observation group.The operation conditions,preoperative and postoperative arterial blood gas indicators and pain conditions of the two groups were compared.All patients were followed up for half a year.The incidence of surgical complications during the follow-up period was counted and compared.Results:Under different surgical methods,the operation time,intraoperative blood loss,postoperative drainage volume and postoperative mechanical ventilation time in the observation group were lower than those in the control group,and the differences were statistically significant(t=3.328,3.819,3.869,2.969;P<0.05).After operation,cortisol(Cor),angiotensinⅡ(AT-Ⅱ)and visual analogue(VAS)in the observation group were lower than those in the control group,and the difference was statistically significant(t=2.737,3.304,6.164;P<0.05).After operation,SaO_(2) and PaO_(2) were higher than those in the control group,and PaCO_(2) was lower than that in the control group(t=4.541,2.915,3.411;P<0.05).During the follow-up period,the incidence of surgical complications in the observation group was lower than that in the control group,with statistically significant difference(χ^(2)=4.884,P<0.05).Conclusion:Single-hole thoracoscopic surgery for spontaneous pneumothorax can improve the operation efficiency,relieve postoperative pain,and effectively improve arterial blood gas index.
作者
孙晓彦
王啸林
Sun Xiaoyan;Wang Xiaolin(Cardiothoracic Surgery,Xiangcheng People’s Hospital,Xiangcheng,Henan,4617000,China)
出处
《黑龙江医学》
2024年第11期1325-1327,共3页
Heilongjiang Medical Journal
关键词
自发性气胸
电视胸腔镜手术
动脉血气
疼痛反应
手术并发症
Spontaneous pneumothorax
Video-assisted thoracoscopic surgery
Arterial blood gas
Pain response
Surgical complications
