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目的通过对行胸腔闭式引流患者拔管时间与患者恢复情况进行监测,分析患者拔管时间与患者恢复的关系。方法以2006年1月—2012年12月沈阳市胸科医院及中国医科大学附属第一医院胸心外科832例行胸腔闭式引流患者作为研究对象,监测不同指征拔除引流管后,患者恢复状况及相关并发症发生情况。结果观察组患者带管时间(46.19±18.21)h;对照组患者带管时间(112.11±24.39)h,带管时间观察组短于对照组(t=-44.11,P=0.00)。观察组患者拔管早,胸腔残液的吸收速度高于对照组,观察组出现并发症的概率低于对照组。结论以胸腔闭式引流术后肺复张引发胸痛作为拔管指征之一,早期拔管,尽早恢复胸膜血液、淋巴循环,有利于胸腔内残气、残液的吸收,从而对肺功能恢复及患者的身心健康恢复有积极作用。临床治疗效果明显优于传统拔管方案。
Objective To monitor the time of extubation and recovery of patients undergoing closed thoracic drainage and analyze the relationship between extubation time and patient recovery. Methods From January 2006 to December 2012, Shenyang Thoracic Hospital and the First Affiliated Hospital of China Medical University, 832 cases of thoracic cavity drainage in patients with thoracic drainage as the object of study, monitoring different indications after removal of the drainage tube, the patient recovered Status and related complications occurred. Results The duration of laparotomy in the observation group was 46.19 ± 18.21 h. The duration of laparotomy in the control group was 112.11 ± 24.39 h. The duration of laparotomy in the observation group was shorter than that in the control group (t = -44.11, P = 0.00). In the observation group, the extubation rate was earlier than that in the control group, and the incidence of complications in the observation group was lower than that in the control group. Conclusion Thoracic drainage after chest drainage caused by recurrent chest pain as one of the indications for extubation, early extubation, early recovery of pleural blood, lymphatic circulation, is conducive to the absorption of residual gas and residual fluid in the thoracic cavity, and thus lung function recovery and The patient’s physical and mental health recovery has a positive effect. The clinical treatment effect is obviously superior to the traditional extubation program.