两种经皮气管切开术的临床应用对比研究

Clinical comparison between two different methods of percutaneous tracheostomy

目的对比研究两种经皮气管切开术(PT)即经皮导丝扩张钳技术(GWDF法)和经皮导丝牛角型扩张技术(GWCH法)的临床特点。方法选取入住RICU符合气管切开指征的患者42例,随机分为经皮导丝扩张钳技术组(GWDF法)和经皮导丝牛角型扩张技术组(GWCH法),对两组的手术时间、出血量和手术并发症等进行比较。结果在手术时间方面,经皮导丝牛角型扩张技术略短于经皮导丝扩张钳技术(P>0.05);经皮导丝牛角型扩张技术在出血量和手术并发症方面明显少于经皮导丝扩张钳技术(P<0.05)。结论经皮导丝牛角型扩张技术在减轻手术创伤和减少并发症方面优于经皮导丝扩张钳技术,值得临床推广。

Objective To compare the curative effect of two different methods of percutaneous tracheostomy（PT）,which were the guide wire dilating forceps（GWDF method） and the guide wire cattle horn（GWCH method）.Methods 42 patients in RICU were randomly divided into two groups： the GWDF group and the GWCH group.Their operation duration,bleeding volume and operation complications were compared.Results The operation duration was slightly shorter in the GWCH group than in the GWDF group（P0.05）.The incidence of operation complications and the volume of bleeding were obviously shorter in the GWCH group than in the GWDF group（P0.05）.Conclusion The GWCH method has the advantages of less operation complications and trauma than the GWDF method does.