气管插管下气管切开术与常规气管切开术术后并发症发生情况比较  

Comparison of postoperative complications between tracheotomy and conventional tracheostomy under endotracheal intubation

作　　者：章程[1] Zhang Cheng(Department of Otolaryngology,Hunan Aerospace Hospital,Changsha 410205)

机构地区：[1]湖南航天医院耳鼻喉科,长沙410205

出　　处：《中国社区医师》2018年第21期67-67,69,共2页Chinese Community Doctors

摘　　要：目的:比较气管插管下气管切开术与常规气管切开术术后并发症发生情况。方法:收治气管切开术患者204例,平分为两组,插管组行气管插管下气管切开术,常规组行常规气管切开术。比较两组术后出血、皮下气肿、气胸、脱管、窒息等常见并发症的发生情况,并计算并发症发生率。结果:插管组术后并发症总发生率1.96%,低于常规组的8.82%,差异有统计学意义(P<0.05)。结论:相比于常规气管切开术,气管插管下气管切开术术后并发症发生率更低。在行气管切开术中,应根据患者需要,选择气管插管下切开术。Objective:To compare the postoperative complications between tracheotomy and conventional tracheostomy under endotracheal intubation.Methods:204 patients underwent tracheotomy were selected.They were divided into the two groups on agerage.The tracheal intubation and tracheostomy were performed in the intubation group,and routine tracheotomy was performed in the routine group.The incidences of common complications such as postoperative bleeding,subcutaneous emphysema,pneumothorax,detachment,and asphyxia were compared between groups,and the incidence of complications was calculated.Results:The incidence of postoperative complications in the intubation group was 1.96%,which was lower than 8.82%in the routine group,and the difference was statistically significant(P<0.05).Conclusion:Compared with conventional tracheotomy,tracheal intubation after tracheotomy had a lower incidence of postoperative complications.In tracheotomy,tracheal intubation should be performed according to the patient's needs.

关 键 词：气管切开术 气管插管 并发症 

分 类 号：R459.7[医药卫生—急诊医学]