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目的比较分析胸腔闭式引流与胸腔穿刺抽液治疗结核性胸膜炎所致胸腔积液的临床效果。方法回顾性分析贵州省遵义市道真自治县人民医院收治的结核性胸膜炎患者58例,随机分成对照组和观察组,每组29例。对照组采用反复胸腔穿刺抽液方法治疗,观察组采用胸腔穿刺置管闭式引流方法治疗,比较两组治疗效果。结果观察组治疗总有效率为93.1%(27/29),对照组治疗总有效率为72.4%(21/29),两组比较差异有统计学意义(P<0.05)。观察组胸水消失时间与胸膜厚度明显小于对照组。结论在实施抗痨治疗的基础上,胸腔穿刺置管闭式引流治疗结核性胸膜炎,效果明显优于反复胸腔穿刺抽液治疗。
Objective To compare the clinical effects of closed thoracic drainage and pleural puncture fluid in the treatment of pleural effusion caused by tuberculous pleurisy. Methods A retrospective analysis of 58 cases of tuberculous pleurisy patients admitted to Daozhen Autonomous County People’s Hospital of Zunyi City of Guizhou Province were randomly divided into control group and observation group with 29 cases in each group. The control group was treated by recurrent thoracentesis and drainage. The observation group was treated by closed drainage with thoracentesis and catheterization. The therapeutic effect was compared between the two groups. Results The total effective rate was 93.1% (27/29) in the observation group and 72.4% (21/29) in the control group. The difference between the two groups was statistically significant (P <0.05). Observation group pleural effusion disappeared time and pleural thickness was significantly less than the control group. Conclusion In the implementation of anti-tuberculosis treatment based on the closed drainage of thoracentesis tube drainage treatment of tuberculous pleurisy, the effect was significantly better than repeated thoracentesis and drainage treatment.