Feasibility and advantages of gastric tube as an alternative to traditional thoracic drainage tubes in postoperative pleural drainage for lung cancer
胃管替代传统胸管在肺癌术后胸腔引流中的可行性及优势分析

摘要

目的 分析胃管替代传统胸管在肺癌术后胸腔引流中的可行性及优势。方法 选取2024年9月-2025年9月期间，平阳县人民医院胸外科住院行肺癌手术的60例患者为研究对象。随机将患者分为观察组（n=30例，胃管引流）和对照组（n=30例，传统胸管引流）。对比两组术后疼痛情况、引流情况及住院时间、舒适度、并发症发生情况。结果 观察组在术后第一、二、三天的疼痛评分，术后引流量、引流持续时间、住院时间以及并发症发生率，均明显低于对照组；且舒适度明显更高，差异均有统计学意义（P＜0.05）。结论 对肺癌术后患者胸腔引流中采用16F胃管替代传统胸管，可有效缓解患者术后疼痛、提高舒适度、降低并发症风险、促进术后康复。

Abstract

Objective Analysis of the feasibility and advantages of using a gastric tube as an alternative to traditional chest tubes in postoperative pleural drainage for lung cancer patients.
Methods Select 60 patients who underwent lung cancer surgery in the thoracic surgery department of Pingyang County People’s Hospital from September 2024 to September 2025 as the research subjects. Patients were randomly divided into an observation group (n=30, gastric tube drainage) and a control group (n=30, traditional chest tube drainage). Compare the postoperative pain, drainage, length of hospital stay, comfort level, and incidence of complications between two groups.
Results On the first, second, and third postoperative days, the VAS scores, postoperative drainage volume, drainage duration, hospitalization duration, and complication rates in the observation group were significantly lower than those in the control group. Additionally, the comfort level in the observation group was significantly higher, with all differences being statistically significant (P<0.05).
Conclusion   The use of a 16F gastric tube as an alternative to traditional chest tubes in postoperative pleural drainage for lung cancer patients can effectively alleviate postoperative pain, improve comfort, reduce complication risks, and promote postoperative recovery.