经皮扩张气管切开术在ICU重症脑出血患者抢救中应用价值

Percutaneous Dilation of Tracheostomy in ICU Patients with Severe Intracerebral Hemorrhage in the Value of the Rescue

目的探究经皮扩张气管切开术应用于ICU重症脑出血患者抢救中的价值。方法随机择取2015年2月至2017年5月我院成功收治的20例重症脑出血患者作为此次研究对象,均分为研究组与对照组,各自为10例。根据不同手术方式,研究组患者予以经皮扩张气管切开术;对照组患者予以传统常规气管切开术。将两组患者各项手术指标、术后并发症发生率做对比分析。结果研究组患者手术时长、术中出血量、切口愈合时间均低于对照组,颈部创面比对照组患者小(P<0.05);研究组患者术后并发症发生率明显低于对照组(P<0.05)。结论经皮扩张气管切开术在ICU重症脑血出患者抢救中,应用价值高,其操作便捷,有效降低了术后并发症发生率。

Objective To investigate the value of transcutaneous dilation tracheotomy in the rescue of ICU patients with severe intracerebral hemorrhage. Methods Twenty patients with severe intracerebral hemorrhage who were successfully treated in our hospital from February 2015 to May 2017 were selected randomly as the study group and the control group, each with 10 cases. According to different operative methods, the patients in the study group were treated by percutaneous dilatation tracheostomy; Patients in the control group were treated by conventional tracheotomy. The two groups of patients with various surgical indicators, the incidence of postoperative complications for comparative analysis. Results The operation time, intraoperative blood loss and incision healing time were all lower in the study group than in the control group, and the neck wound area was smaller than that in the control group（P〈0.05）. The incidence of postoperative complications in the study group was significantly lower than that in the control group（P〈0.05）. Conclusion Percutaneous dilation and tracheostomy in the treatment of ICU patients with severe cerebral hemorrhage, high value, and its convenient operation, effectively reducing the incidence of postoperative complications.