胸部创伤患者中低压负吸的作用 - 一项随机对照试验
Amit Priyadarshi1, Sahil Gupta2, Pratyusha Priyadarshini2
1Department of Trauma & Emergency Medicine, All India Institute of Medical Sciences, Bhopal, India.
概括
在胸部创伤患者中,阴性肺吸并没有缩短肋间排水 (ICD) 的持续时间. 这项研究发现,负吸和传统方法之间的排水时间或住院时间没有显著差异.
科学领域:
- 创伤外科 手术 创伤外科
- 胸部外科手术 胸部外科手术
- 关键护理医学 关键护理医学
背景情况:
- 胸部创伤通常需要为肺胸,血胸或血肺胸部进行肋间间排水 (ICD).
- 虽然ICD可以挽救生命,但它与发病率有关,促使研究减少其持续时间.
- 以前缩短ICD持续时间的努力主要集中在非创伤患者身上.
研究的目的:
- 评价阴性肺部吸管对胸部创伤患者的肋间间排水 (ICD) 持续时间的影响.
- 为了比较负吸和传统ICD方法之间的住院时间和并发症率.
主要方法:
- 一项前性随机对照试验,涉及70名胸部创伤患者,需要ICD.
- 患者被随机分为两个组:一个是阴性吸 (高达-20厘米H2O),另一个是常规水下海排水的对照组.
- 主要结局是ICD持续时间;次要结局包括住院和并发症.
主要成果:
- 在负吸组中,ICD的中位持续时间为4天 (范围:2-16天),在常规组中为4天 (范围:2-17天).
- 两组患者在住院时间上没有显著差异.
- 复杂症的发生率,包括复发性肺胸病,保留性血胸病,持续性空气泄漏和,在两组中都相似.
结论:
- 阴性多吸并没有证明在减少胸部创伤患者的肋间间排水或住院时间方面具有有益作用.
- 该研究发现,负吸和传统ICD组之间的并发症率没有显著差异.
- 在需要ICD的胸部创伤患者中使用负吸似乎没有在排水时间或并发症方面比传统方法提供优势.
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