经皮微创气管切开术在重症监护病房的应用分析

Analysis of Invasive Percutaneous Tracheotomy Minimally in ICU

目的:探讨分析经皮微创气管切开术(PDT)在重症监护病房(ICU)的应用价值。方法:我院2009年1月至2014年12月共行576例经皮气管切开术和1500例传统气管切开术,本研究随机各抽取125例,并分别设为研究组与传统组,对比分析两组的手术时间、术中出血量、切口长度及并发症发生率。结果:研究组手术时间、术中出血量、切口长度、并发症发生率分别为(17.02±6.56)min、(15.72±7.33)m L、(1.20±0.28)cm、6.40%,而传统组则分别为(34.18±10.33)min、(51.83±20.57)m L、(3.36±0.60)cm、21.60%,前者更具优势,差异有统计学意义(P<0.01)。结论:PDT具有手术时间短、术中出血量少、创伤低、并发症少等特点,在ICU中更具临床应用价值,值得进一步推广。

Objective： To investigate the application of invasive percutaneous tracheostomy（ PDT） minimally in ICU.Methods： A total of 576 cases were received percutaneous tracheostomy and 1500 cases were received traditional tracheotomy in our hospital from Jan. 2009 to Dec. 2014,and 125 patients in this study,randomly selected from each group,were respectively provided with experimental group and the traditional group. The operation time,intraoperative bleeding,length of incision and complications of the incidence of two groups comparative analyzed. Results： The operation time,bleeding volume,incision length and complication rate of experimental group were（ 17.02 ＋ 6.56） min,（ 15.72 7.33） m L,（ 1.20 0.28） cm,6.40%,while the conventional group were（ 10.33 ＋ 51.83） m L,（ 20.57 ＋ 0.60） cm,21.60%,34.18,respectively,and the difference was statistically significant（ P〈0.01）. Conclusion： PDT has the characteristics of short operation time,less bleeding,less trauma,less complications,and more clinical application value in ICU.