中心静脉导管在胸腔积液中的应用及临床疗效观察

目的 探讨中心静脉导管在胸腔积液中的应用及临床疗效.方法 选取胸腔积液患者94例,随机分为观察组和对照组,每组各47例,对照组采用传统胸腔闭式引流,观察组采用中心静脉导管留置胸腔闭式引流.观察两组患者的疗效及不良反应.结果 观察组总有效率为91.5％,对照组总有效率为76.6％,观察组总有效率显著高于对照组（P＜0.05）.观察组平均日引流量显著高于对照组（P＜0.01）,引流时间、住院时间、并发症及疼痛发生率,明显低于对照组（P＜0.01）.结论 中心静脉导管留置胸腔闭式引流疗效优于传统胸腔闭式引流,不良反应少,安全性更高,值得临床推广.

Application and Clinical Observation of Central Venous Catheter in Patients with Pleural Effusion

OBJECTIVE To explore the application and clinical observation of central venous eatheter（CVC） in patients with pleural effusion. METHOD A total of 94 patients with pleural effusion were randomly divided into control group treated with traditional closed thoracic drainage and observation group with CVC indwelling closed thoracic drainage, 47 cases for each group. Clinical efficacy and adverse responses in both groups were observed. RESULT The total response rate was 91.5% in observation group, which was apparently higher than the 76.6% in control group （P〈0.01）. Observation group was evidently higher in daily drainage volume, but obviously lower in drainage duration, hospital stayed as well as rates of complications and pain than control group （P〈0.01）. CONCLUSION CVC indwelling closed thoracic drainage had better clinical efficacy than the traditional one with fewer adverse responses and higher safety, which deserves to be widely applied in clinic al preutiee.