经皮扩张气管切开术在危重患者中的应用效果观察

Clinical effect of percutaneous dilational tracheostomy on critically ill patients

目的:观察经皮扩张气管切开术(PDT)在危重患者中的应用效果。方法:选取2015年7月至2016年9月广西宜州市人民医院重症医学科收治的需行气管切开的患者100例,按随机数字表法将患者分为PDT组和传统开放式气管切开术(TT)组,每组50例。比较两组手术时间、术中出血量等手术情况及并发症发生情况。结果:PDT组手术时间、术中出血量、切口大小、切口愈合时间及切口瘢痕大小均明显优于TT组(均P<0.05),且围手术期及远期总并发症发生率显著低于TT组(P<0.05)。结论:PDT具有微创、操作简便、并发症发生率低等优点,值得在基层医院重症医学科中推广应用。

Objective： To investigate the clinical effect of percutaneous dilational tracheostomy （PDT） on critically ill patients. Methods： From July 2015 to September 2016, 100 ICU critically ill patients were se- lectedand randomly divided into the PDT group and traditional tracheostomy （TT） group. The operation time, intraoperative blood-loss and the incidence of complications were compared between the two groups. Results： The operation time, blood-loss volume, operative incision size and healing time in the PDT group were superior to the TT group （ P〈0.05）. The incidence of perioperative and long-term complications in the PDT group were significantly lower than those in the TT group （ P〈0.05）. Conclusion. PDT had ad- vantages of minimal invasion, simple operation and fewer complications, which was suitable for applying in primary hospitals.