经皮穿刺扩张气管切开术在重症监护病房患者中的应用效果  

Application effects of percutaneous dilatation tracheotomy in patients in intensive care unit

作　　者：李冬冬 杨勇 LI Dongdong;YANG Yong(Intensive Care Unit of Dianbai District People’s Hospital,Maoming 525400 Guangdong,China)

机构地区：[1]茂名市电白区人民医院重症医学科,广东茂名525400

出　　处：《中国民康医学》2020年第23期123-124,127,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察经皮穿刺扩张气管切开术在重症监护病房患者中的应用效果。方法:依照床位单双号将246例重症监护病房患者分为观察组和对照组,每组123例。对照组接受传统开放性气管切开术,观察组接受经皮穿刺扩张气管切开术治疗。比较两组手术相关指标水平和并发症发生率。结果:观察组手术时间和切口愈合时间均短于对照组,术中出血量低于对照组,切口长度短于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为7.32%,低于对照组的19.51%,差异有统计学意义(P<0.05)。结论:经皮穿刺扩张气管切开术应用于重症监护病房患者,可降低手术相关指标水平和并发症发生率,其效果优于传统开放性气管切开术应用效果。Objective:To explore application effects of percutaneous dilatation tracheotomy in patients in intensive care unit.Methods:According to the odd or even numbers of beds,246 intensive care unit patients were divided into observation group and control group,123 cases in each group.The control group received traditional open tracheotomy,while the observation group received percutaneous dilatation tracheotomy.The levels of surgery-related indicators and the incidence of complications were compared between the two groups.Results:The operation time and incision healing time of the observation group were shorter than those of the control group;the intraoperative blood loss was less than that of the control group;the incision length was shorter than that of the control group;and the differences were statistically significant(P<0.05).The complication rate in the observation group was 7.32%,which was lower than 19.51%in the control group,and the difference was statistically significant(P<0.05).Conclusions:Percutaneous puncture dilatation tracheotomy for the patients in the intensive care unit can reduce the surgeryrelated indicator levels and the incidence of complications.Moreover,it is superior to traditional open tracheotomy.

关 键 词：重症监护病房 经皮穿刺扩张气管切开术 传统开放性气管切开术 手术指标 并发症 

分 类 号：R605[医药卫生—外科学]