[1]刘守知,张富全.16F引流管在肺癌患者胸腔镜肺叶切除术后胸腔引流中的应用效果[J].新乡医学院学报,2018,35(10):918-920.[doi:10.7683/xxyxyxb.2018.10.017]
　LIU Shou-zhi,ZHANG Fu-quan.Effect of 16F drainage tube in chest drainage after thorascopic pulmonary lobectomy for lung cancer[J].Journal of Xinxiang Medical University,2018,35(10):918-920.[doi:10.7683/xxyxyxb.2018.10.017]
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16F引流管在肺癌患者胸腔镜肺叶切除术后胸腔引流中的应用效果
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
35
期数:
2018年10
页码:
918-920
栏目:
临床研究
出版日期:
2018-10-05

文章信息/Info

Title:
Effect of 16F drainage tube in chest drainage after thorascopic pulmonary lobectomy for lung cancer
作者:
刘守知1; 张富全2
（1.平煤神马医疗集团总医院胸外科，河南　平顶山　467000；2.上海市远大心胸医院胸外科，上海　200235）
Author(s):
LIU Shou-zhi1; ZHANG Fu-quan2
（1.Department of Thoracic Surgery，General Hospital of Pingmei Shenma Medical Group，Pingdingshan 467000，Henan Province，China；2.Department of Thoracic Surgery，Shanghai Yuanda Cardiothoracic Hospital，Shanghai 200235，China）
关键词:
肺癌; 胸腔镜肺叶切除术; 胸腔引流; 16F引流管
Keywords:
lung cancer; thorascopic lobectomy; chest drainage; 16F drainage tube
分类号:
R734.2
DOI:
10.7683/xxyxyxb.2018.10.017
文献标志码:
A
摘要:
目的　探讨16F引流管在肺癌患者胸腔镜肺叶切除术后胸腔引流中的应用效果。方法　选择2015年11月至2017年7月平煤神马医疗集团总医院收治的肺癌患者78例为研究对象，根据胸腔引流管型号分为观察组和对照组，每组39例。2组患者均行单向式胸腔镜肺叶切除术和系统淋巴结清扫术，观察组患者术后采用16F引流管进行胸腔引流，对照组患者术后采用28F引流管进行胸腔引流。记录2组患者术后引流量、引流时间、住院时间及并发症；术后第1、2、3天，采用视觉模拟评分法（VAS）评估患者疼痛情况；术后第7天采用自制活动度评定量表评估患者活动度。结果　观察组患者术后引流量显著少于对照组（P<0.05），引流时间、住院时间显著短于对照组（P<0.05）。术后第1、2、3 天，观察组患者VAS评分显著低于对照组（P<0.05），且观察组患者术后活动度优于对照组（P<0.05）。观察组患者皮下气肿、肺部感染及胸腔积气发生率低于对照组（P<0.05），但2组患者心律失常、过敏反应及腹泻发生率比较差异无统计学意义（P>0.05）。结论　肺癌患者胸腔镜肺叶切除术后应用16F引流管进行胸腔引流，可促进患者术后康复，降低并发症发生率，提高患者术后舒适度和活动度。
Abstract:
Objective　To investigate the effect of 16F drainage tube in chest drainage after thorascopic pulmonary lobectomy for lung cancer.Methods　Seventy-eight patients with lung cancer in the General Hospital of Pingmei Shenma Medical Group from November 2015 to July 2017 were selected as the subjects.The patients were divided into observation group and control group according to the type of thoracic drainage tube，thirty-nine cases in each group.The patients in the two groups were treated with unidirectional thorascopic lobectomy and systemic lymphadenectomy.The patients in the observation group were treated with 16F drainage tube for chest drainage，while the patients in the control group were treated with 28F drainage tube for chest drainage.The postoperative drainage volume，drainage time，hospitalization time and complications of the patients in the two groups were recorded.The pain of the patients was evaluated by visual analogue scale（VAS） on the first，second，third day after operation.The activity of patients was evaluated by self activity scale on the seventh day after surgery.Results　The postoperative drainage volume in the observation group was significantly lower than that in the control group，and the drainage time and hospitalization time in the observation group were significantly shorter than those in the control group（P<0.05）.On the first，second and third day after operation，the VAS score in the observation group was significantly lower than that in the control group（P<0.05），and the postoperative activity in the observation group was better than that in the control group（P<0.05）.The incidences of subcutaneous emphysema，pulmonary infection and aerothorax in the observation group were lower than those in the control group（P<0.05）；but there was no significant difference in the incidences of arrhythmia，allergic reaction and diarrhea between the two groups（P>0.05）.Conclusion　Thoracic drainage with 16F drainage tube after thorascopic lobectomy for lung cancer patients can promote postoperative rehabilitation，reduce the incidence of complications，improve postoperative comfort and activity.

参考文献/References:

［1］　KLAPPER J，D′AMICO T A.VATS versus open surgery for lung cancer resection：moving toward a minimally invasive approach［J］.J Natl Compr Canc Netw，2015，13（2）：162-164.
［2］　屈亚云，武莉芳，张秀敏，等.依达拉奉对肺癌胸腔镜手术中单肺通气相关肺损伤的保护作用［J］．新乡医学院学报，2016，33（12）：1054-1056，1061．
［3］　MAEDA K，HIGASHIMOTO Y，HONDA N，et al.Effect of a postoperative outpatient pulmonary rehabilitation program on physical activity in patients who underwent pulmonary resection for lung cancer［J］.Geriatr Gerontol Int，2015，16（5）：550-555.

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更新日期/Last Update: 2018-10-05