Study on the Effect of Thoracoscopic Surgery on Spontaneous Pneumothorax and Arterial Blood Gas and Pain in Patients with Different Holes
Objective:To observe the clinical effect of video-assisted thoracoscopic surgery on spontaneous pneumothorax under different hole numbers,and the influence on arterial blood gas index and pain of patients.Methods:123 patients with spontaneous pneumothorax admitted to the hospital from January 2021 to June 2022 were selected as the study object.The patients were divided into groups by drawing lots.61 patients treated with traditional three-hole thoracoscopic surgery were included in the control group,and 62 patients treated with single-hole thoracoscopic surgery were included in the observation group.The operation conditions,preoperative and postoperative arterial blood gas indicators and pain conditions of the two groups were compared.All patients were followed up for half a year.The incidence of surgical complications during the follow-up period was counted and compared.Results:Under different surgical methods,the operation time,intraoperative blood loss,postoperative drainage volume and postoperative mechanical ventilation time in the observation group were lower than those in the control group,and the differences were statistically significant(t=3.328,3.819,3.869,2.969;P＜0.05).After operation,cortisol(Cor),angiotensin Ⅱ(AT-Ⅱ)and visual analogue(VAS)in the observation group were lower than those in the control group,and the difference was statistically significant(t=2.737,3.304,6.164;P＜0.05).After operation,SaO2 and PaO2 were higher than those in the control group,and PaCO2 was lower than that in the control group(t=4.541,2.915,3.411;P＜0.05).During the follow-up period,the incidence of surgical complications in the observation group was lower than that in the control group,with statistically significant difference(χ2=4.884,P＜0.05).Conclusion:Single-hole thoracoscopic surgery for spontaneous pneumothorax can improve the operation efficiency,relieve postoperative pain,and effectively improve arterial blood gas index.
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