特殊体位患者急救复苏时气管造口的临床研究

Percutaneous rotation puncture and tracheal catheter surgery in the recovery application for special positions

目的 研究急救复苏时处于特殊、被动、体位患者气管造口方法选择.方法 在不影响正常急救与复苏前提下,根据特殊体位不同选择气管造口不同方法,将患者随机分为：气管穿剌组（研究组）：指采用经皮旋转穿剌气管造口方法.气管切开组（对照组）：指采用传统手术气管切开方法.研究统计危重患者处于特殊体位时,采用二种不同气管造口方式情况;并进行对照研究,针对患者重要生命体征和医疗指标情况进行统计并作统计学处理.结果 统计结果表明显：在急救复苏时气管穿剌造口术较传统的手术方法快捷、损伤小、操作方便、安全、对生命体征影响较小.经统计学处理P＜0.01有显著差异.结论 在急救复苏时处于特殊体位患者,选择经皮旋转穿剌气管造口方法明显优于传统手术气管切开方法.值得在现场急救复苏时推广应用.

Objective To study how to choose tracheotomy methods when patient are in special or passive positions. Methods In premise that didn＇t affect existing effort of emergency treatment, patients were randomly divided into two groups based on their respective positions, tracheal puncture group （study group） which percutaneous rotation puncture tracheotomy method was adopted, and tracheotomy group （control group） the only traditional method of surgical tracheotomy was used. Analysis of the two methods of tracheotomy in the abnormal positions was conducted. The patients＇ vital signs and medical indicators were used for statistical analysis. Results The result demonstrated that in comparing with traditional method of ostomy surgery, tracheal puncture tracheotomy in the emergency treatment is considered as a faster, easier operation with minor injury, carrying the features of being safe and less impact on vital signs with a significant statistical differences （P〈0.01）. Conclusion While in abnormal position, percutaneous rotation puncture tracheotomy method is obviously superior than traditional methods of surgical tracheotomy, and is suggested to use at on-site emergency and resuscitation treatment.