Effection Of Continuous Negative Pressure Suction Drainage Associate With Fine Catheter In The Treatment Of Spontaneous Pneumothorax

BackgroundPneumothorax has always been a major threat to human diseases,the history of clinical treatment for such diseases has been over 180 years,since 1724, the Dutch physician Boerhaave (1668-1738) descript the pneumothorax on the report, the Scientists's work began. Constitute a cause of pneumothorax, diagnosis and treatment technology with the development of social and medical changes in place. The pressure of pleural cavity was significantly increased when Pneumothorax attacked, even by the negative into a positive pressure, the lung is compressed, venous blood flow obstruction and other physiological change thy anatomic changes,leading to a different heart, lungs and other major organ dysfunction,a serious threat to Patient's life,quality of life. After several years of development, has formed an effective treatment in the past and more use of local anesthesia rough treatment of closed drainage tube thoracentesis pneumothorax, or surgery, trauma of the Act, can trigger a variety of Complications, and the psychological trauma patients, with the advances in materials engineering, minimally invasive, efficient and safe treatment for the treatment of the mainstream, the current use of central venous catheter closed drainage treatment of spontaneous Pneumothorax is widely. ObjectiveEvaluation the efficacy and safety in different intervention conditions on the central venous catheter Thoracic closed drainage in the treatment of pneumothorax.MethodsCollected in 2008 from 5 May 2011 a variety of spontaneous pneumothorax patients were treated from the First Affiliated Hospital of Zhengzhou University, according to randomly assigned by a non-diagnosed cases of tension pneumothorax cases included in the study group,75 patients were male,45 females, aged 14 to 75 years old, average 35.28 years old.120 patients with chronic obstructive pulmonary disease in 22 cases,3 cases of old pulmonary tuberculosis,6 cases of interstitial lung disease, silicosis disease (silicosis) in 4 cases,5 cases of intractable pneumothorax; 90 cases of idiopathic pneumothorax; cases were confirmed by Chest radiograph or chest CT diagnosed as pneumothorax, lung ompression of 20% to 85%. Three groups of medical records of sex ratio, age, underlying diseases and species, no significant difference in the degree of lung compression. All percutaneous thoracentesis inserted central catheter, to the different treatment groups were given continuous suction, intermittent suction, closed drainage treatment of pneumothorax, three intervention conditions produced by these effects, complications, hospital charges, Compare the psychological impact, psychological impact assessment in accordance with the Beck Anxiety Inventory (BAI) for anxiety scores.ResultsTreatment of a group of 40 patients were cured, the cure rate was 100%, the second group of 40 patients treated were cured, the cure rate was 100%, three groups of 40 patients treated, the cure rate 56%, compared with three methods:pleura Disappearance time of the gas chamber (2.83±1.38) d, (8.55±1.88) d, (10.95±2.14) d, pleural reaction (10%,1.25%,1.25%), hospital costs￥(947.63±145.15),￥(1 089.28±238.31),￥(1 286.58±301.73), score of anxiety 42.05±2.88,28.18±5.57,50.23±3.15, all the data is analysed by SPSS13.0, all difference were significant (P<0.05). The indicators compare the differences were statistically significant (P<0.05).ConclusionThe method by using central venous catheter plus lasting vacuum aspiration to treat spontaneous pneumothorax is worthy of clinical promotion for its easy manipulating, less trauma, more effective and lower cost.