经皮穿刺扩张气管切开术的临床应用研究  

Study on the clinical application of percutaneous dilatational tracheostomy

作　　者：严峻 蔡永辽 李瑞金 杨伟杰 

机构地区：[1]广东省东莞塘厦医院重症医学科,广东东莞523710

出　　处：《中国医药科学》2013年第11期196-197,共2页China Medicine And Pharmacy

摘　　要：目的总结经皮穿刺扩张气管切开术在重症监护室(ICU)的应用经验,推广该项技术在临床的应用,进一步改进该项技术。方法采用随机分组,观察经皮扩张气管切开术Ⅱ组在临床应用的情况,并与传统开放性气管切开术Ⅰ组对比优缺点。结果Ⅱ组手术时间(7.5±1.5)min较Ⅰ组(34.1±8.95)min明显缩短(t=12.733,P<0.01)。Ⅱ组并发症的发生率明显低于Ⅰ组(x2=12.4576,P<0.01),切口大小、出血量、切口愈合时间方面,亦优于Ⅰ组;费用方面Ⅱ组较Ⅰ组有所增加。结论经皮穿刺扩张气管切开术具有安全、简单、快速、创伤小、花费低廉的优点,可基本取代传统的气管切开术。Objective To summarize application experience of the percutaneous dilatational tracheostomy in the intensive care unit （ICU） to promote this technology in clinical application and further improve the technology. Methods Patients were grouped in random and the clinical application status（group I1 ） of the percutancous dilatational tracheostomy （group I ）was observed and compared with the traditional operational tracheostomy for advantages and disadvantages. Results operation time of the group I1 （7.5 ± 1.5） min was significantly less than the group [ （34.1± 8.95） min （t= 12.733,P 〈 0.01）.The incidence of complications of the group II was significantly lower than the group I （x2=12.4576,P 〈 0.01）,as well as the incision size, blood loss and incision healing time; the cost of the group I1 was higher than group I . Conclusion The percutaneous dilatational tracheostomy is safe,simple,rapid,less traumatic and low in cost, which can replace the traditional operational tracheotomy.

关 键 词：经皮气管切开术 重症监护室 临床应用 

分 类 号：R615[医药卫生—外科学]