蔡伟鹏

    [摘要] 目的 探究与分析便携式无痛胸腔引流管在治疗自发性气胸中的临床应用。 方法 选取东莞市第三人民医院胸外科自2015年7月～2016年6月期间收治的自发性气胸患者120例，按照就诊时间顺序分为对照组与观察组，每组各60例，对照组给予传统胸腔引流管处理，观察组给予便携式无痛胸腔引流管处理，对比两组患者初次复张成功率、引流管留置时间、疼痛评分、住院时间、费用情况、并发症发生率及患者及家属满意度调查情况。 结果 观察组与对照组相比初次复张成功率高，引流管留置时间短，疼痛评分低，住院时间短，住院费用少，差异有统计学意义(P < 0.05)。观察组与对照组相比胸膜反应、复张性肺水肿、引流管堵塞、脱管、皮下气肿、出血、切口感染发生率均较低，差异有统计学意义(P < 0.05)。觀察组与对照组相比患者及家属满意度较高，差异有统计学意义(P < 0.05)。 结论 便携式无痛胸腔引流管相比于传统胸腔引流管对自发性气胸进行处理可提高临床疗效，缩短引流管留置时间，缓解疼痛感，降低并发症发生率，安全性更高，易于被患者及其家属接受认可。

    [关键词] 便携式无痛胸腔引流管；传统胸腔引流管；自发性气胸

    [中图分类号] R655 [文献标识码] A [文章编号] 1673-7210(2017)02(a)-0051-04

    Portable painless chest drainage tube in the treatment of spontaneous pneumothorax in clinical research

    CAI Weipeng

    Chest Cardiac Surgery Department， the Third People's Hospital of DongGuan City， Guangdong Province，Dongguan 523000，China

    [Abstract] Objective To explore and analyze the clinical application of a portable painless chest drainage tube in the treatment of spontaneous pneumothorax. Methods 120 cases with spontaneous pneumothorax treated in Thoracic Surgery Department of The third people's hospital of Dongguan city from July 2015 to June 2016 were selected.All the patients divided into the experimental group and the control group according to the registration order ......