| ObjectivesIn this study,we compared the postoperative drainage effects of a single 32F drainage tube in video-assisted thoracoscopic lung surgery with those of a 32F drainage tube combined with an 8F pig-tail catheter,and explored the feasibility of the combined use of microtubule drainage in video-assisted thoracoscopic lung surgery,as well as its advantages,in order to provide a basis for clinical practice.Methods1.A total of three hundred and twenty patients undergoing video-assisted thoracoscopic lung surgery in Department of Chest Surgery,the Second Affiliated Hospital of Kunming Medical University from January 2019 to December 2020 were selected,and two hundred cases actually met the requirements.They were completely and randomly divided into two groups according to the placement of thoracic drainage tube after surgery:one hundred cases in the 32F thoracic drainage tube group and one hundred cases in the 32F drainage tube combined with 8F pigtail catheter(Abel central venous catheter)microtubule group.2.Statistical analysis was performed on the collected data by SPSS21.0 software to compare the gender,age,operation side,operation type,and intrathoracic adhesion degree of the two groups;Clinical indicators such as hospital stay after surgery,duration of indwelling closed drainage tube after surgery,closed drainage volume on the first day after surgery,total drainage volume after all thoracic drainage tubes were pulled out after surgery,number of extra analgesic drugs used after routine postoperative analgesia,time to move on the ground for the first time after surgery and main postoperative complications;The pain scores of patients in the two groups in cough state and quiet breathing state on the first,third and fifth days after operation were also evaluated.Results1.There was no significant difference in gender,age,operation side,operation type,and composition of intrathoracic adhesion degree between the two groups(P>0.05).There was no significant difference in the closed drainage volume on the first day after surgery,the total thoracic drainage volume after the closed thoracic drainage was removed,or the main postoperative complications(P>0.05).Compared with 32F drainage alone,the combined microtubule drainage had shorter postoperative hospital stay(P<0.05),earlier removal of the thick tube and all the thoracic drainage tubes after surgery(P<0.05).less times of extra analgesic drugs used after surgery(P<0.05),and earlier time for the first floor exercise after surgery(P<0.05).2.Comparison of pain scores in cough state and resting state on the first,third and fifth days after operation between the two groups:There was no significant difference between the two groups on the first day after operation(P>0.05);There was no significant difference in cough state on the third day(P>0.05);There was a significant difference in quiet breathing state(P<0.05);The differences were statistically significant in both states on the fifth day after operation(P<0.05).Conclusions1.Combined microtubule drainage can ensure the postoperative drainage effect,and will not increase the probability of postoperative complications;2.The combined microtubule drainage thick tube can be pulled out early,so that patients can pull out the drainage tube and discharge as soon as possible.3.The combined use of microtubule drainage can reduce the patients’ feelings of spontaneous pain and reduce the additional doses of analgesic drugs after the use of conventional analgesic drugs after surgery,so that patients can get out of bed as soon as possible,cough and expectoration on their own,and accelerate lung expansion.4.Compared with the traditional single thick tube drainage,the combination of thick tube and microtubule drainage is more in line with the concept of rapid rehabilitation surgery in thoracoscopic lung surgery. |
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