PDF(Pubmed)
Abstract：
OBJECTIVE: Primary spontaneous pneumothorax (PSP) is an urgent/emergency condition. Treatment with intercostal chest drainage (ICD) is necessary, particularly in symptomatic patients or those with tension. A previous study found that systematic breathing exercise significantly reduced ICD duration when compared with controls. This study aimed to evaluate if pulmonary rehabilitation can reduce the duration of ICD treatment in patients with PSP.
METHODS: This was a retrospective study of patients diagnosed with PSP treated with ICD. Duration of ICD treatment was recorded from patients\' medical charts. Factors associated with ICD duration were calculated using linear regression analysis.
RESULTS: There were 66 patients who met the study criteria, with average (SD) age and body mass index of 31.68 (13.53) years and 20.94 (2.72) kg/m2. The majority of the patients were male (72.73%), and average (SD) duration of ICD treatment was 9.90 (7.83) days. Three factors remained in the final model: body mass index, systolic blood pressure, and recurrent PSP. Two factors were independently associated with longer ICD duration: systolic blood pressure and recurrent PSP, with adjusted coefficients of 0.21 (p value 0.041) and 7.69 (p value 0.039), respectively. Pulmonary rehabilitation was not included in the final model.
CONCLUSIONS: Patients with a history of recurrent PSP or high systolic blood pressure at presentation may require longer ICD duration. Pulmonary rehabilitation was not associated with the duration of ICD treatment.
METHODS: This was a retrospective study of patients diagnosed with PSP treated with ICD. Duration of ICD treatment was recorded from patients\' medical charts. Factors associated with ICD duration were calculated using linear regression analysis.
RESULTS: There were 66 patients who met the study criteria, with average (SD) age and body mass index of 31.68 (13.53) years and 20.94 (2.72) kg/m2. The majority of the patients were male (72.73%), and average (SD) duration of ICD treatment was 9.90 (7.83) days. Three factors remained in the final model: body mass index, systolic blood pressure, and recurrent PSP. Two factors were independently associated with longer ICD duration: systolic blood pressure and recurrent PSP, with adjusted coefficients of 0.21 (p value 0.041) and 7.69 (p value 0.039), respectively. Pulmonary rehabilitation was not included in the final model.
CONCLUSIONS: Patients with a history of recurrent PSP or high systolic blood pressure at presentation may require longer ICD duration. Pulmonary rehabilitation was not associated with the duration of ICD treatment.
摘要：
目的：原发性自发性气胸（PSP）是一种紧急/紧急情况。肋间胸腔引流（ICD）治疗是必要的，特别是有症状的患者或紧张的患者。先前的研究发现，与对照组相比，系统的呼吸运动显着减少了ICD的持续时间。这项研究旨在评估肺康复是否可以减少PSP患者ICD治疗的持续时间。
方法：这是一项对诊断为PSP的患者进行ICD治疗的回顾性研究。根据患者病历记录ICD治疗的持续时间。使用线性回归分析计算与ICD持续时间相关的因素。
结果：66例符合研究标准的患者，平均年龄（SD）和体重指数为31.68（13.53）岁和20.94（2.72）kg/m2。大部分患者为男性（72.73%），ICD治疗的平均持续时间（SD）为9.90（7.83）天。最终模型中保留了三个因素：体重指数，收缩压,和复发性PSP。两个因素与ICD持续时间较长独立相关：收缩压和复发性PSP，调整系数为0.21(p值0.041)和7.69(p值0.039)，分别。最终模型中未包括肺康复。
结论：有PSP复发或收缩压高的患者可能需要更长的ICD持续时间。肺康复与ICD治疗的持续时间无关。
方法：这是一项对诊断为PSP的患者进行ICD治疗的回顾性研究。根据患者病历记录ICD治疗的持续时间。使用线性回归分析计算与ICD持续时间相关的因素。
结果：66例符合研究标准的患者，平均年龄（SD）和体重指数为31.68（13.53）岁和20.94（2.72）kg/m2。大部分患者为男性（72.73%），ICD治疗的平均持续时间（SD）为9.90（7.83）天。最终模型中保留了三个因素：体重指数，收缩压,和复发性PSP。两个因素与ICD持续时间较长独立相关：收缩压和复发性PSP，调整系数为0.21(p值0.041)和7.69(p值0.039)，分别。最终模型中未包括肺康复。
结论：有PSP复发或收缩压高的患者可能需要更长的ICD持续时间。肺康复与ICD治疗的持续时间无关。
