用两种经皮气管切开术为神经重症患者建立人工气道的效果对比  

Comparison of two kinds of percutaneous tracheotomy to building artificial airway for critically neurological patients

作　　者：梁峻[1] Liang Jun(zitong county people＇s hospital,zitong,sichuan 621000)

机构地区：[1]梓潼县人民医院,四川梓潼621000

出　　处：《当代医药论丛》2018年第17期11-13,共3页

摘　　要：目的 :比较使用经皮导丝扩张钳气管切开术与传统经皮气管切开术为神经重症患者建立人工气道的效果。方法 :选取2014年8月至2017年3月期间梓潼县人民医院收治的80例神经重症患者作为研究对象。随机将这些患者分为对照组和观察组,每组各40例患者。为对照组患者使用传统经皮气管切开术建立人工气道,为观察组患者使用经皮导丝扩张钳气管切开术建立人工气道。然后观察两组患者术中的出血量、切口的长度、手术持续的时间及发生并发症的情况。结果 :观察组患者术中的出血量少于对照组患者,其切口的长度及手术持续的时间均短于对照组患者,其并发症的发生率低于对照组患者,P <0.05。结论 :与使用传统的经皮气管切开术相比,使用经皮导丝扩张钳气管切开术为神经重症患者建立人工气道对患者造成的创伤较小,其不易发生并发症。objective： to compare the efficacy of endotracheotomy with percutaneous guidewire dilation forceps and traditional percutaneous tracheotomy in the establishment of artificial airway in severe patients with nerve diseases. Methods： 80 patients with severe neurological diseases admitted to zitong county people＇s hospital from August 2014 to March 2017 were selected as the study objects. These patients were randomly divided into a control group and an observation group, with 40 patients in each group. The artificial airway was established for the control group using the traditional percutaneous tracheotomy, and the artificial airway was established for the observation group using percutaneous guidewire dilation forceps. Blood loss, length of incision, duration of operation and complications were observed. Results： patients in the observation group had less intraoperative blood loss than those in the control group, the length of incision and duration of surgery were shorter than those in the control group, and the incidence of complications was lower than those in the control group, P 0.05. Conclusion： compared with traditional percutaneous tracheotomy, tracheotomy with percutaneous guidewire dilating forceps is less traumatic for patients with severe neurological disease to establish artificial airway, which is less prone to complications.

关 键 词：经皮导丝扩张钳气管切开术 传统经皮气管切开术 神经重症 

分 类 号：R651[医药卫生—外科学]