经皮气管切开与传统气管切开在重症患者中的应用

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Abstract Objective To compare the application effect of percutaneous tracheotomy and traditional tracheotomy in critically ill patients.Methods A total of 60 critically ill patients who underwent tracheostomy treatment at People′s Hospital of Yunfu City from June 2020 to August 2021 were selected as the research objects.According to random number table method,they were divided into treatment group and control group,with 30 cases in each group.The control group was treated with traditional tracheotomy,and the treatment group was treated with percutaneous tracheotomy.The diameter of the surgical incision,intraoperative blood loss,operative time and extubation of the two groups were recorded and compared.Perioperative indicators such as the healing time of the posterior surgical incision,the incidence of complications and mortality of the two groups of patients after different treatments were counted.Results There were no statistically significant differences in the surgical incision diameter and operation time between the two groups (P＞0.05).The intraoperative blood loss of the treatment group was less than that of the control group,and the postoperative healing time after extubation was shorter than that of the control group,the total complication rate was 10.00% (3/30),lower than 23.33% (7/30) of the control group,the mortality rate was 3.33% (1/30),lower than 13.33%(4/30) of the control group,the differences were statistically significant (P＜0.05).Conclusion Compared with traditional tracheotomy,the use of percutaneous tracheotomy can effectively reduce the amount of intraoperative blood loss in patients.Percutaneous tracheotomy can achieve rapid healing of the surgical incision after extubation,and under this operation,patients are not likely to have related complications,the mortality rate is lower,and the prognosis is better.Percutaneous tracheotomy has higher clinical application value.

Key words： Percutaneous tracheotomy Traditional tracheotomy Curative effect comparison Prognostic analysis

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	YAN Yinzong

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YAN Yinzong. Application of percutaneous tracheotomy and traditional tracheotomy in critically ill patients[J]. 中国当代医药, 2022, 29(7): 39-41转45.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I7/39

[1]	张建辉，吕学东，马航，等.T 型硅酮支架治疗气管切开术后拔管困难患者的临床研究[J].临床肺科杂志，2019，24（11）：2072-2074.
[2]	翟翔，张金玲，刘钢.保留麻醉插管的经皮旋转扩张气管切开术临床应用研究[J].中华耳鼻咽喉头颈外科杂志，2018，53（5）：390-391.
[3]	冯兴林，王舜尧，黎萍.住院重症患者气管切开后下呼吸道感染情况研究[J].中华医院感染学杂志，2018，28（1）：29-31.
[4]	王建会.传统气管切开术的技术改进在神经外科危重患者中的应用[J].河北医药，2017，39（9）：1374-1375，1378.
[5]	陈庆丰，孙秋香.经皮气管切开术的技巧及临床应用分析[J].中国全科医学，2017，20（S2）：175-177.
[6]	李冰，杨元立，贾晔然，等.ICU 气管切开患者撤机后应用呼吸湿化治疗仪的临床疗效观察[J].中国呼吸与危重监护杂志，2019，18（1）：37-41.
[7]	武元星，王玉妹，郝京京，等.神经外科术后气管切开术的并发症与手术时机的选择[J].中国临床神经外科杂志，2018，23（6）：413-415.
[8]	熊学辉，魏小川，罗杰，等.经皮气管切开术在神经外科急危重症病人中的应用体会[J].中国临床神经外科杂志，2019，24（5）：312-313.
[9]	张虹，徐艳敏，李海红，等.改良纤维支气管镜下经皮旋转扩张气管切开术在ICU 危重患者的应用：附4 种方法的对比研究[J].中华危重病急救医学，2017，29（1）：61-65.
[10]	马宝新，谢乙团，李毅毅，等.两种不同经皮气管切开术在危重症患者救治中效果分析[J].河南外科学杂志，2019，25（1）：10-12.
[11]	申艳玲，李海水，李显文.量化评估在老年危重患者气管切开术后管道护理中的应用[J].中国实用护理杂志，2021，37（24）：1862-1867.
[12]	程文刚，赵惠民，符贵雅，等.经皮气管切开术与传统气管切开术在神经重症患者救治中的效果分析[J].中西医结合心血管病电子杂志，2020，8（20）：194-195.
[13]	李海艳，翟翔.经皮扩张气管切开术在困难气道患者中的应用[J].临床耳鼻咽喉头颈外科杂志，2019，33（10）：993-995.
[14]	赵伟，陆晓燕.经皮扩张气管切开术在急性重度喉梗阻治疗中的临床应用[J].岭南急诊医学杂志，2020，25（1）：79-80.
[15]	李乐.超声引导与纤维支气管镜引导下经皮扩张气管切开术在ICU 患者中的应用比较[J].中国当代医药，2021，28（24）：42-44.
[16]	胡均贤，赵德英，袁玉明，等.神经外科患者经皮气管切开术与传统气管切开术两种术式并发症的对比分析[J].中国耳鼻咽喉颅底外科杂志，2018，24（3）：284-287.