改良中心静脉导管在单孔胸腔镜亚肺叶切除术后引流中的应用效果

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Abstract Objective To compare the effect of modified central venous catheter and conventional silicone drainage tube for closed thoracic drainage after single-port thoracoscopic sublobar resection. Methods A total of 104 patients with single-port thoracoscopic sublobar resection enrolled in the First People’s Hospital of Neijiang from January 2015 to December 2020 were selected and according to different drainage tube indwelling methods, they were divided into observation group (56 cases) and control group (48 cases). The clinical efficacy, total drainage volume, drainage tube indwelling time, the average number of painkiller use, hospitalization days, hospitalization expenses, incision scar formation, incision satisfaction, and postoperative complications were compared between the two groups. Visual analogue scale (VAS) was used and scored at 12, 24, 48 h and extubation. Results The total postoperative drainage flow of the observation group was less than that of the control group, the indwelling time of chest catheter and the hospitalization days were shorter than that of the control group, the average number of painkiller use was less than that of the control group, and the hospitalization expenses was lower than that of the control group, with statistically significance (P ＜ 0.05). The incision scar formation rate in the observation group was lower than that in the control group, and the incision satisfaction was higher than that in the control group, with statistically significance (P ＜ 0.05). There were statistically significant differences in VAS score at 12, 24, 48 h and at the time of extubation between the two groups, time, and interaction (P ＜ 0.05). Further pairwise comparison: VAS score at 48 h after surgery was lower than 24 and 12 h after surgery, VAS score at 24 h after surgery was lower than 12 h after surgery, VAS score at extubation was higher than 48 h after surgery, with statistically significance (P ＜ 0.05). Comparison between groups: VAS scores of the observation group were lower than those of the control group at 12, 24, 48 h after surgery and at extubation, with statistically significance (P ＜ 0.05). There was no significant difference in the total number of postoperative complications between the two groups (P ＞ 0.05). Conclusion After single-port thoracoscopic sublobectomy, the use of modified central venous catheter for closed thoracic drainage can achieve the clinical effect of conventional closed thoracic drainage tube and has more advantages.

Key words： Single-port thoracoscopy Modified central venous catheter Rapid recovery Thoracic drainage

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	YAO Yi XIE Xiaoyang LI Ji YANG Yanhui WANG Yi▲

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YAO Yi XIE Xiaoyang LI Ji YANG Yanhui WANG Yi▲. Application effect of modified central venous catheter in drainage after single-port thoracoscopic sublobar resection#br#[J]. 中国医药导报, 2022, 19(8): 121-125.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I8/121

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