Efficacy analysis of cardiothoracic surgery on traumatic pneumothorax
心胸外科治疗创伤性气胸疗效分析

摘要

目的：探究心胸外科治疗创伤性气胸的临床疗效。方法：将于2018年12月至2019年11月在我院心胸外科接受治疗的70例创伤性气胸患者作为本次实验的研究对象，按照随机数字法将其随机分配为参照组和研究组，并使用不同的治疗方式。参照组使用常规胸腔闭式引流治疗，研究组则采用微创胸腔闭式引流治疗，于治疗后对比患者VAS评分及术后情况。结果：使用微创胸腔闭式引流治疗的研究组，其VAS评分为（3.42±0.46）分，参照组VAS评分为（7.36±0.59）分，研究组患者VAS疼痛评分明显低于参照组，（P＜0.05）。其次，研究组患者下床活动时间（3.41±1.59）d，伤肺完全复张时间（3.15±1.49）d，住院时间（7.59±3.85）d；而反观参照组，患者下床活动时间、伤肺完全复张时间及住院时间分别为（5.59±2.17）d、（4.58±2.27）d、（14.95±3.99）d，研究组患者术后情况明显优于参照组，且数据间存在明显统计学意义，（P＜0.05）。结论：对创伤性气胸患者实施微创胸腔闭式引流进行治疗，可在保障安全性的情况下提高治疗效果，对促进患者快速康复有积极作用。

Abstract

Objective: To explore the clinical efficacy of cardiothoracic surgery in the treatment of traumatic pneumothorax.
Methods: Seventy traumatic pneumothorax patients who will be treated in cardiothoracic surgery in our hospital from December 2018 to November 2019 will be the subject of this experiment. They will be randomly assigned to the reference group and study group according to the random number method, and use different treatments. The reference group was treated with conventional closed thoracic drainage. The study group was treated with minimally invasive closed thoracic drainage. After treatment, the patients' VAS scores and postoperative conditions were compared.
Results: The study group using minimally invasive closed thoracic drainage had a VAS score of (3.42 ± 0.46) points and a reference group VAS score of (7.36 ± 0.59) points. The VAS pain score of patients in the study group was significantly lower than the reference group, ( P <0.05). Secondly, the study group's time to get out of bed was (3.41 ± 1.59) days, the time to complete lung injury reopening (3.15 ± 1.49) days, and the length of hospital stay (7.59 ± 3.85) days; while in the reference group, the patients' time to get out of bed, the time to complete lung retension and hospital stay were (5.59 ± 2.17) d, (4.58 ± 2.27) d, and (14.95 ± 3.99) d. The postoperative condition of the patients in the study group was significantly better than that of the reference group, and there were significant statistics between the data, significantly (P <0.05).
Conclusion  : The treatment of traumatic pneumothorax patients with minimally invasive closed thoracic drainage can improve the treatment effect while ensuring safety, and has a positive effect on promoting rapid recovery of patients.