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[1]陈 慧,田 森,张 伟,等.内科胸腔镜检查专用床单在不明原因胸腔积液患者中的临床应用[J].中华肺部疾病杂志,2025,(02):300-303.[doi:10.3877/cma.j.issn.1674-6902.2025.02.018]
　Chen Hui,Tian Sen,Zhang Wei,et al.Clinical application of dedicated medical thoracoscopy sheets in patients with unexplained pleural effusion[J].,2025,(02):300-303.[doi:10.3877/cma.j.issn.1674-6902.2025.02.018]
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内科胸腔镜检查专用床单在不明原因胸腔积液患者中的临床应用(PDF)

《中华肺部疾病杂志》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2025年02期
页码:
300-303
栏目:
论著
出版日期:
2025-04-25

文章信息/Info

Title:
Clinical application of dedicated medical thoracoscopy sheets in patients with unexplained pleural effusion
作者:
陈 慧1; 田 森1; 2; 张 伟1; 董宇超1; 白 冲1; 王 琴1
200438 上海,海军军医大学第一附属医院呼吸与危重症医学科1；315100 宁波,解放军第906医院呼吸与危重症医学科2
Author(s):
Chen Hui1;  Tian Sen1; 2;  Zhang Wei1;  Dong Yuchao1;  Bai Chong1;  Wang Qin1.
1Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Naval Medical University, Shanghai 200438, China; 2Department of Respiratory and Critical Care Medicine, The 906th Hospital of PLA, Ningbo 315100, China
关键词:
内科胸腔镜;  胸腔积液;  临床应用
Keywords:
Medical thoracoscopy;  Pleural effusion;  Clinical application
分类号:
R563
DOI:
10.3877/cma.j.issn.1674-6902.2025.02.018
摘要:
目的 分析内科胸腔镜检查专用床单在因不明原因胸腔积液(pleural effusion)行内科胸腔镜检查患者中的临床应用。方法 选取2023年5月至2024年8月我院收治的不明原因胸腔积液行内科胸腔镜检查患者96例,随机分为观察组46例和对照组50例,观察组采用内科胸腔镜检查专用床单,对照组采用医用检查垫。比较两组体位摆放一次性成功率、体位摆放完成时间、患者满意度和胸水污染周围环境情况。结果 观察组体位摆放一次性成功41例(89.13%)、体位摆放完成时间(42.24±14.22)s、患者满意度评分(90.93±8.00)分优于对照组体位摆放一次性成功23例(46.00%)、体位摆放完成时间(61.50±18.20)s、患者满意度评分(74.26±13.30)分; 观察组胸水污染周围环境评分0分41例(89.13%)、1分4例(8.70%)、2分1例(2.17%)优于对照组胸水污染周围环境评分0分3例(6.00%)、1分12例(24.00%)、2分18例(36.00%)、3分12例(24.00%)、4分5例(10.00%)(P<0.001)。结论 内科胸腔镜检查专用床单提高内科胸腔镜检查患者体位摆放效率,缩短术前指导时间,降低胸水污染周围环境风险,提高患者满意度,具有临床意义。
Abstract:
Objective To analyze the clinical application of dedicated medical thoracoscopy sheets in patients undergoing medical thoracoscopy for unexplained pleural effusion. Methods A total of 96 patients with unexplained pleural effusion who underwent medical thoracoscopy at our hospital from May 2023 to August 2024 were selected and randomly divided into an observation group 46 cases and a control group 50 cases. The observation group used dedicated medical thoracoscopy sheets, while the control group used standard medical examination pads. The one-time success rate of position placement, time required for position placement, patient satisfaction, and pleural fluid contamination of the surrounding environment were compared between the two groups. Results The observation group showed superior outcomes: one-time success of position placement was 41 cases(89.13%), time for position placement was( 42.24±14.22 )seconds, and patient satisfaction score was(90.93±8.00). In contrast, the control group had a one-time success of 23 cases(46.00%), time for position placement of(61.50±18.20)seconds, and patient satisfaction score of(74.26±13.30). Regarding environmental contamination, the observation group had 41 cases(89.13%)with a contamination score of 0, 4 cases(8.70%)with a score of 1, and 1 case(2.17%)with a score of 2. The control group had 3 cases(6.00%)with a score of 0, 12 cases(24.00%)with a score of 1, 18 cases(36.00%)with a score of 2, 12 cases(24.00%)with a score of 3, and 5 cases(10.00%)with a score of 4(P<0.001). Conclusion The dedicated medical thoracoscopy sheet improves the efficiency of patient positioning, shortens preoperative preparation time, reduces the risk of pleural fluid contamination, and enhances patient satisfaction, demonstrating significant clinical value.

参考文献/References:

1 顾 兴, 张红军, 焦 娇, 等. 内科胸腔镜在高龄患者不明原因胸腔积液中的临床应用[J/CD]. 中华肺部疾病杂志(电子版), 2018, 11(5): 563-566.
2 中华医学会呼吸病学分会胸膜与纵隔疾病学组(筹). 胸腔积液诊断的中国专家共识[J]. 中华结核和呼吸杂志, 2022, 45(11): 1080-1096.
3 Ferreiro L, Toubes ME, San José ME, et al. Advances in pleural effusion diagnostics[J]. Expert Rev Respir Med, 2020, 14(1): 51-66.
4 Deschuyteneer EP, De Keukeleire T. Diagnostic value and safety of thoracoscopic pleural biopsies in pleural exudative effusions of unknown origin, including follow-up[J]. BMJ Open Respir Res, 2022, 9(1): e001161.
5 陈众众, 刘家昌, 徐兴祥, 等. 内科胸腔镜联合快速现场评估对不明原因胸腔积液的诊断价值[J/CD]. 中华肺部疾病杂志(电子版), 2021, 14(2): 135-140.
6 Goh KJ, Leong CK, Young SL, et al. Diagnostic value and safety of medical thoracoscopy in undiagnosed pleural effusions-a prospective observational cohort study[J]. J Thorac Dis, 2024, 16(5): 3142-3151.
7 Sikachi RR, Chaddha U, Agrawal A. Anesthetic considerations for medical pleuroscopy[J]. Respir Med, 2023, 213: 107225.
8 Metintas M, Ak G, Yildirim H, et al. Image-asssted pleural needle biopsy or medical thoracoscopy: Which method for which patient? a randomzed controlled trial[J]. Chest, 2024, 166(2): 405-412.
9 Davidson JE, Colt HG. Thoracoscopy: nursing implications for optimal patient outcomes[J]. Dimens Crit Care Nurs, 1997, 16(1): 20-8.
10 Agarwal A, Prasad R, Garg R, et al, Husain N. Medical thoracoscopy: a useful diagnostic tool for undiagnosed pleural effusion[J]. Indian J Chest Dis Allied Sci, 2014, 56(4):217-220.
11 金发光, 李时悦, 李王平, 等. 内科胸腔镜诊疗规范[J/CD]. 中华肺部疾病杂志(电子版), 2018, 11(1): 6-13.
12 中国居民营养与慢性病状况报告(2020年)[J]. 营养学报, 2020, 42(6): 521.
13 付莲英, 段淑云, 万水珍. 视觉模拟评分法在病人满意度调查中的应用[J]. 中国护理管理, 2008, 8(9): 68-69.
14 Ferreiro L, Suárez-Antelo J, Álvarez-Dobaño JM, et al. Malignant pleural effusion: diagnosis and management[J]. Can Respir J, 2020, 2020: 2950751.
15 Gayen S. Malignant Pleural Effusion: Presentation, Diagnosis, and Management[J]. Am J Med, 2022, 135(10): 1188-1192.
16 Botana Rial M, Pérez Pallarés J, Cases Viedma E, et al. Diagnosis and treatment of pleural effusion. Recommendations of the spanish society of pulmonology and thoracic surgery[J]. Arch Bronconeumol, 2023, 59(1): 27-35.
17 Wang XJ, Yang Y, Wang Z, et al. Efficacy and safety of diagnostic thoracoscopy in undiagnosed pleural effusions[J]. Respiration, 2015, 90(3): 251-255.
18 Lee P, Folch E. Thoracoscopy: Advances and increasing role for interventional pulmonologists[J]. Semin Respir Crit Care Med, 2018, 39(6): 693-703.
19 Liu XT, Dong XL, Zhang Y, et al. Diagnostic value and safety of medical thoracoscopy for pleural effusion of different causes[J]. World J Clin Cases, 2022, 10(10): 3088-3100.
20 Tousheed SZ, Ranganatha R, Hemanth Kumar M, et al. Role of medical thoracoscopy in the diagnosis of pleural effusions[J]. Indian J Tuberc, 2022, 69(4): 584-589.
21 崔美荣, 左漫漫, 郭成莉, 等. 胃镜体位标记床单的设计与临床应用价值[J]. 海军医学杂志, 2024, 45(1): 95-98.
22 陈 佳, 丁文霞, 潘淑芬, 等. 结肠镜体位标识床单的设计与应用[J]. 解放军护理杂志, 2020, 37(3): 89-90+92.
23 陈 慧, 田 森, 张 伟, 等. 呼吸内镜介入治疗术前禁食禁饮失败危险因素分析[J/CD]. 中华肺部疾病杂志(电子版), 2022, 15(5): 712-714.

备注/Memo

备注/Memo:
基金项目: 上海市卫健委协同创新集群项目资助(2020CXJQ03,640)
通信作者: 王 琴, Email: 562882504@qq.com
更新日期/Last Update: 2025-04-25