经皮扩张气管切开术与传统气管切开术在重症监护病房中的应用价值比较  

Comparison application value of percutaneous dilated tracheotomy and traditional tracheotomy in intensive care unit

作　　者：施红伟[1] 刘春峰[1] 姚炳荣[1] 马腾飞 陈瑢 SHI Hongwei;LIU Chunfeng;YAO Bingrong;MA Tengfei;CHEN Rong(Department of Critical Care Medicine,Rudong County People's Hospital,Nantong,Jiangsu,226400,China)

机构地区：[1]如东县人民医院重症医学科,江苏南通226400

出　　处：《当代医学》2023年第22期48-51,共4页Contemporary Medicine

摘　　要：目的分析经皮扩张气管切开术(PDT)与传统开放性气管切开术(OT)在ICU患者中的应用价值。方法选取2018年2月至2020年8月于本院需行气管切开的82例ICU患者作为研究对象,按照随机数字表法分为研究组与对照组,每组41例。研究组采用PDT治疗,对照组采用OT治疗,比较两组气管切开术中情况、气管切开术操作难度、气管切开术后情况、不良反应发生情况。结果研究组手术时间、切口长度均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。两组Froga分级情况比较差异无统计学意义。研究组气管切开套管拔除后伤口愈合时间、局部瘢痕长度均短于对照组,差异有统计学意义(P<0.05);两组气管切开套管留置时间比较差异无统计学意义。研究组气管切开术后不良反应发生率(4.88%)低于对照组(29.27%),差异有统计学意义(P<0.05)。结论ICU患者行PDT效果显著,有利于缩短气管切开术所需时间,安全性较高,值得临床推广应用。Objective To analyze the application value of percutaneous tracheotomy(PDT)and traditional open tracheotomy(OT)in patients in intensive care unit(ICU).Methods A total of 82 ICU patients who required tracheotomy in our hospital from February 2018 to August 2020 were se-lected as the research subjects,and they were randomly divided into the study group and the control group according to the random number table method,with 41 cases in each group.The study group was treated with PDT,and the control group was treated with OT,the situation during Trache-otomy,the difficulty of tracheotomy,the situation after Tracheotomy,and the occurrence of adverse reactions were compared between the two groups.Results The surgical time and incision length in the study group were shorter than those in the control group,and the intraoperative bleeding was less than that in the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference be-tween the two groups in Froga grade.The wound healing time and local scar length after tracheal incision tube removal in the study group were short-er than those in the control group,the differences were statistically significant(P<0.05);there was no significant difference in indwelling time be-tween the two groups.The incidence of adverse reactions after tracheotomy in the study group(4.88%)was lower than that in the control group(29.27%),the difference was statistically significant(P<0.05).Conclusion The effect of PDT in ICU patients is significant,which is conducive to shortening the time required for tracheotomy,and has high safety,it is worthy of clinical promotion and application.

关 键 词：ICU 经皮扩张气管切开术 传统气管切开术 安全性 

分 类 号：R459.7[医药卫生—急诊医学]