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Objective: A comparative analysis Abel central venous catheter and traditional silicone tubing on the whole thoracoscopic wedge resection of lung draining effect, explore the Abel central venous catheter feasibility of an alternative to traditional silicone tube, and from the perspective of Chinese medicine Abel central venous catheter advantage. Methods: February 2009 to July 2010 with total thoracoscopic wedge resection of lung 75 patients, 60 cases actually meet the standards, according to type of postoperative chest tube placed completely randomly divided into 2 groups: group Abel central venous catheter (Abel tube group) 30 cases, conventional silicone tube group (silicone tube group) 30 cases, the two groups in terms of gender, age, surgical side, case type, pleural adhesions, suture configuration using the number on the difference was not statistically significant ( P gt; 0.05). Chest tube indwelling time were compared, the first postoperative day drainage, postoperative drainage volume, postoperative hospital stay, number of patients using pethidine, chest tube usage and postoperative complications and other clinical indicators; evaluate two 1,2,3,5 days after the first group in the state of calm and cough pain scores, and postoperative pulmonary function recovery were compared. Results: The two groups into the group before all showed no significant difference (P gt; 0.05). (A) two sets of chest tube indwelling time, after the first day drainage, postoperative drainage volume, chest tube usage (number of cases clogging and loss), and postoperative complications was no significant difference (P gt; 0.05 ); silicone tube group, postoperative hospital stay Biaibeier more tube group (P lt; 0.05). Silicone tube group after intramuscular pethidine more than the number of cases Biyibeier tube group (P lt; 0.05). (2) after the first 1,2,3 days, silicone tube set in a calm state of pain scores, cough difference between the state and two sets of pain scores were high Biyibeier tube group (P lt; 0.05). After the first five days, two calm state no difference in pain scores (P gt; 0.05); cough state, silicone tube group pain scores than Abel tube group (P lt; 0.05), pain scores than those in each group calm state high (P lt; 0.05). (3) silicone tube group TCM symptoms before discharge tube total score Biyibeier group, the difference was statistically significant (P lt; 0.05). Two of these include wheezing, shortness of breath, cough, expectoration, bloody sputum, fever, itchy throat, evil wind, dry mouth, fatigue, palpitations, Violet dark lips, tongue, pulse and other traditional Chinese medicine symptom scores were not statistically Learn the difference (P gt; 0.05), silicone tube group clinical symptoms including spontaneous perspiration ratings than silicone tube group, the difference was statistically significant (P lt; 0.05). (4) silicone tube group after accounting for preoperative FEV1 and FVC percentage lower than Abel tube group (P lt; 0.05). Conclusion: proper management of central venous catheters Abel premise, Abel central venous catheter with silicone tubes in the whole thoracoscopic wedge resection of lung draining effect, like silicone tube drainage after substitution is feasible; Abel central venous catheter reduce meridian oppression, which will help blood to run, accelerate postoperative lung function recovery, reduce postoperative clinical symptoms.
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