有无气管插管支撑经皮气管切开术在ICU中的临床应用

The clinical use of endotracheal tube supporting for percutaneous dilatational tracheostomy in ICU

目的研究有无气管插管支撑行经皮气管旋切术(即经皮导丝旋转扩张气管切开术,PDT)的临床特点,评价有无气管插管支撑经皮气管切开术在ICU的临床应用价值。方法选取我院ICU病房2014年2月至2014年10月期间收治的126例需行气管切开患者资料,进行回顾性分析,随机分为两组,对照组实施无气管插管经皮气管切开术、观察组采用有气管插管经皮气管切开术,对两组患者从病例选择范围、手术难易程度、手术时间、术中及术后并发症等进行分析比较。结果观察组病例选择面广,手术容易,手术时间短,并发症少,较对照组有明显优势,差异具有统计学意义(P<0.05)。结论有支撑气管切开术更简单,创伤小,对患者的预后具有重要意义,值得在临床治疗中推广使用。

Objective：To explore the clinical characteristics of the support of endotracheal tube in patients with Percuta-neous Dilatational tracheostomy（PDT）,to evaluate the clinical using value in ICU of endotracheal tube supporting to Percu-taneous Dilatational tracheostomy（PDT）. Methods：126 patients in ICU from 2014. 02 to 2014. 10 were in this retrospective analysis ,to whom tracheostomy was indicated on clinical grounds,and were randomly assigned to one of two groups. Pa-tients in group A accepted percutaneous dilatational tracheostomy with the support of endotracheal tube while those in group B is dong it without endotracheal tube. The range of selection,difficulty level of operating,time of operative complication at one time of the two groups were compared statistically. Results：Surgeries on patients in group A are adapted to different kinds of patients,operated easier,use less time,and cause less complications in compare to group B. And the difference is statistically significant（P 〈 0. 05）. Conclusions：Percutaneous dilatational tracheostomy with supporting of endotracheal tube is easier and brings less injury,it has a significant importance in prognosis and its use is worth promoted in clinical use.