改良微创经皮气管切开术在基于国人BMI指数的不同体型脑损伤人群中的实用性与安全性研究

Practicability and Safety of Improved Micro-invasive Percutaneous Tracheostomy in Brain Injury Patients with Different Body Size Based on Chinese BMI Index

目的:探讨改良微创经皮切开技术在不同体型的脑损伤患者中应用的实用性及安全性;方法:回顾性分析2011年10月-2016年10月解放军第二五一医院神经外科575例行改良经皮气管切开的病例,按照国人BMI指数分类标准,分为偏瘦及正常体型组(n=408)、超重及肥胖组(n=167),从两组分别随机抽取120例,形成A组和B组,比较A、B组之间的手术时间,早期及晚期的并发症发生率。结果:B组手术准备时间长于A组,手术操作时间长于A组,但差异均无统计学意义(P>0.05)。在手术并发症方面,两组手术早、晚期并发症发生率比较差异无统计学意义(P>0.05)。两组均无手术相关死亡病例。结论:改良的经皮微创气管切开技术可安全地用于不同体型的脑损伤患者,实用性强,值得进一步推广。

Objective：To explore whether improved micro-invasve percutaneous tracheostomy（MPT） for the brain injury patients with different body size is safety and practical.Method：A retrospective review of 575 patients underwent percutaneous tracheostomy from October 2011 to October 2016 was conducted.According to Chinese BMI index,these patients were divided into two groups.One group included patients with thin or normal body size（n=408）,another included overweight and obese patients（n=167）.Then randomized sampling method was used for selecting 120 cases from the two groups respectively,named group A and B.To analysis acute and late complications and duration of MTP of the two groups.Result：The surgical preparation time of group B was longer than group A,the duration time of group A was shorter than group B,but there was no significant difference（P〉0.05）.There were also no significant difference in acute and late complications of two groups（P〉0.05）.No operation related death recorded.Conclusion：The improved micro-invasve percutaneous tracheostomy is a safety and practical procedure to be performed on brain injury patients with different body size,it is worth to be recommended.