中心静脉导管与静脉留置针引流恶性胸腔积液的效果比较

目的比较采用中心静脉导管与静脉留置针引流胸腔积液的临床效果。方法142例恶性胸腔积液患者随机分为对照组和研究组各7l例，对照组采用静脉留置针置管引流，研究组采用中心静脉导管置管引流，并给予术后导管及留置针护理，观察两组患者胸腔积液治疗效果及护理相关并发症发生情况。结果研究组留管时间长于对照组，留管次数及胸腔积液控制时间少于对照组，差异均有统计学意义（P〈0．05）。研究组穿刺成功率、胸膜反应发生率、穿刺点及胸腔感染率与对照组比较差异无统计学意义（P〉0．05），研究组堵管发生率及脱管率低于对照组，差异有统计学意义（P〈0．05）。结论中心静脉导管置管引流恶性胸腔积液效果优于静脉留置针，护理相关并发症发生率较低，便于临床护理。

Comparison of effect of central venous catheter and vein detained needle in the drainage of malignant pleural effusion

Objective To compare with the clinical effect central venous catheter and vein detained needle in the drainage of malignant pleural effusion. Methods 142 patients with malignant pleural effusion were randomly divided into control groups and research groups, the patients drained pleural effusion with dwell catheter of central venous catheter were in research groups and vein detained needle draining were in control groups, and therapeutic efficacy and nursing complication were contrasted in two groups. Results In comparison with control groups, time of remaining drainage tube was longer in research group, number of times that patients were stabbed and time of pleural effusion in control group were shorter in research group ( P ＜0. 05). Achievement ratio, incidence rate of pleural response, and infection rate of stab point and pleural cavity was identical in two groups ( P ＞ 0. 05 ), incidence rate of drainage tube blockage and abscission was lower in research group (P ＜0. 05 ). Conclusions Therapeutic efficacy of dwell catheter with central venous catheter was prevalent to those with vein detained needle, and nursing complication was lower and was convenient for clinical nursing.