经皮扩张与传统开放气管切开临床对比研究  

Comparison of the clinical efficacy between percutaneous dilatational tracheotomy and conventional tracheotomy

作　　者：彭艳[1] 李书铭 熊荣华[1] 王俊英[1] 文刚[1] 卢孝莉 方琼莉 

机构地区：[1]四川省仁寿县人民医院ICU,四川仁寿620500

出　　处：《实用医院临床杂志》2006年第1期39-40,共2页Practical Journal of Clinical Medicine

摘　　要：目的观察经皮气管切开术(PDT)和传统气管切开术(OT)在ICU的应用价值。方法80例ICU需气管切开的患者采取前瞻性随机分成PDT组及OT组。对手术操作时间、并发症、安全性等方面进行比较。结果PDT组操作时间(8±3.1)分钟与OT组(23.7±11.3)分钟比较,P<0.01,OT组发生操作相关性并发症13例,PDT组2例。结论PDT可单人操作,较OT迅速、安全、有效、创伤小、并发症少,适用于急危重病患者的抢救。Objective To evaluate comparatively the clinical efficacy of percutaneous dilatational tracheotomy （ PDT） and conventional tracheotomy for critically ill patients in ICU. Methods A total of 80 patients in whom tracheotomy was needed were given randomly either PDT or conventional tracheotomy. The mean time used for the operations, complications, and safety were compared between the two methods. Results The mean time to perform PDT was （ 8 ±3.1 ） min and the mean time to conventional tracheotomy was （ 23.7 ± 11.3） rain （ P 〈 0.01）. The operation-related complications in conventional tracheotomy group were in 13 cases, but 2 in the PDT group. Conclusion PDT is safe, easy to operate, with less time, trauma, and complications, and therefore we espouse its wide application in critical patients who need tracheotomy.

关 键 词：经皮扩张气管切开(PDT) 传统开放气管切开术(OT) 

分 类 号：R653[医药卫生—外科学]