Design and Application of Small-diameter Closed Thoracic Drainage Tube Fixation Following Lung Wedge Resection: a Randomised Prospective Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 139
- 试验地点
- 1
- 主要终点
- the pain numerical rating scale
研究概览
简要总结
Objective: To explore the design feasibility and application effect of triple-buffer-system-fixed small-diameter (18 F) thoracic closed drainage tubes following lung wedge resection. Methods: A total of 136 patients with indwelling thoracic drainage tubes following pulmonary wedge resection were recruited, with 70 patients allocated to the control group and 66 to the experimental group. The drainage tube in the experimental group was fixed with the triple-buffer system, while that in the control group was fixed using the conventional lifting platform method. The incidence of unplanned extubation, the indwelling time of the drainage tube and the time and material costs, as well as information regarding any subcutaneous emphysema and skin tension blisters, were recorded following the operation. The pain and degree of comfort were assessed using a chi-square test and a rank sum t-test to compare the differences between the two groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Single-port thoracoscopic wedge resection of the lung was performed for the first time
- •No air leak in the lung tissue was detected
- •The patient could communicate and cooperate normally.
- •No local skin allergy or scar could be observed.
排除标准
- •Patients with wide adhesion of the whole thoracic mucosa.
- •Patients with postoperative or intraoperative bleeding.
- •Patients with severe postoperative hypoproteinaemia or chylothorax with massive pleural effusion.
- •Patients diagnosed with emphysema.
研究组 & 干预措施
The drainage tube in the experimental group was fixed with the triple-buffer system
干预措施: fixed with the triple-buffer system (Procedure)
that in the control group was fixed using the conventional lifting platform method
干预措施: fixed using the conventional lifting platform method (Procedure)
结局指标
主要结局
the pain numerical rating scale
时间窗: 2 hours
no pain: 0 points, mild pain: 1-3 points, moderate pain: 4-7 points and severe pain: 8-10 points
The adverse reactions
时间窗: 2 hours
The chest skin was bulged, and the gas could be felt in the subcutaneous tissue through hand pressing, and there was a feeling of twisting or snow grip.
The extubation standard
时间窗: 2 hours
The extubation standard is patients with good lung re-expansion after clamping for 24 h and no obvious air leakage after reopening the chest tube, and a drainage volume of \<250 mL within 24 h, which can be removed.
the Kolcaba comfort scalea(four-point scale)
时间窗: 2 hours
1: strongly disagree, 2: disagree, 3: agree, 4: strongly agree
次要结局
未报告次要终点
研究者
Caifang Yang
director
Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University