高频电刀在床旁行困难性气管切开术中应用的效果分析  

Effect analysis of high frequency electrosurgical technique in bedside difficult tracheotomy

作　　者：杨建发 农作宝 卢增息 Yang Jianfa;Nong Zuobao;Lu Zengxi(Department of Otolaryngology,The Eighth People's Hospital of Nanning,Guangxi,Nanning,530000,China)

机构地区：[1]南宁市第八人民医院,广西南宁530000

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第6期23-27,共5页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的分析比较在床旁行困难性气管切开术中使用与不使用高频电刀的效果。方法选取我院2018年1月至2022年6月在重症监护室(ICU)住院的72例接受在床旁行困难性气管切开术的患者作为研究对象,按随机表法分为研究组及对照组,每组36例,所有患者均在床旁行外科气管切开术,研究组在术中全程使用高频电刀操作,而对照组在术中术中使用常规外科方法操作,记录两组患者的术前一般资料(年龄、性别、凝血功能)、气管切开术术前困难因素、术中切口长度、术中出血量、手术时间、拔管后术口愈合时间及术后并发症等围手术期相关指标。结果两组患者在术前一般资料及手术困难因素方面比较无统计学意义(P>0.05),但在术中切口长度、术中出血量、手术时间、拔管后术口愈合时间及术后并发症相关指标方面比较,研究组显著优于对照组,其差异有统计学意义(P<0.05)。结论在床旁行困难性气管切开术中合理使用高频电刀操作,具有切口小、出血量少、手术时间短、术后术口愈合快及术后并发症发生率低的优势,能更好地保障手术安全及减轻患者经济负担。Objective To analyze and compare the effect of using and not using high frequency electrotomy in difficult tracheotomy.Methods Selected from January 2018 to June 2022 in the intensive care unit(ICU),72 cases in hospital in patients receiving line next to the bed difficulty tracheotomy as the research object,according to random table method is divided into research group and control group,each group of 36 cases,all patients with surgical tracheotomy in bed,the team in intraoperative fully using the high frequency electricity knife operation,While the control group in intraoperative techniques using conventional surgical method,record of two groups of patients with preoperative general information(age,gender,blood coagulation function),tracheotomy preoperative difficulty factor,intraoperative incision length,intraoperative blood loss,operative time,healing time and postoperative complications after extubation and other related perioperative indicators.Results two groups of patients in the preoperative general information and operation difficult factors is no statistical significance(P>0.05),but in intraoperative incision length,intraoperative blood loss,operative time,healing time and postoperative complications after extubation related indicators,group was significantly better than control group,the difference was statistically significant(P<0.05).Conclusion The rational use of high-frequency electrosurgical surgery in difficult tracheotomy at the bedside has the advantages of small incision,less blood loss,short operation time,quick healing of the postoperative mouth and low incidence of postoperative complications,which can better ensure the safety of surgery and reduce the economic burden of patients.

关 键 词：高频电刀 床旁 困难性 气管切开术 

分 类 号：R47[医药卫生—护理学]