中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
12期
47-49
,共3页
重症医学科%危重患者%经皮扩张气管切开术%临床疗效
重癥醫學科%危重患者%經皮擴張氣管切開術%臨床療效
중증의학과%위중환자%경피확장기관절개술%림상료효
Intensive care unit%Critical patient%Percutaneous dilational tracheotomy%Clinical effect
目的：探讨改良经皮扩张气管切开术在重症医学科危重患者中的应用效果。方法回顾性分析本院重症医学科2011年1月~2012年12月收治的80例改良经皮扩张气管切开术治疗患者（研究组）的临床资料，并选取同期80例接受传统气管切开术治疗患者为对照组，对比两组的临床疗效。结果研究组患者的手术时间、切口长度和切口愈合时间均明显短于对照组，术中出血量少于对照组，差异有统计学意义（P<0.05）。研究组患者术后并发症发生率为2.5%，对照组患者术后并发症发生率为17.5%，研究组患者术后并发症发生率明显低于对照组，差异有统计学意义（P<0.05）。结论临床对于重症医学科危重患者治疗中应用改良经皮扩张气管切开术是可行的，能够有效减少相关并发症，且操作较传统手术更简单，值得临床推广应用。
目的：探討改良經皮擴張氣管切開術在重癥醫學科危重患者中的應用效果。方法迴顧性分析本院重癥醫學科2011年1月~2012年12月收治的80例改良經皮擴張氣管切開術治療患者（研究組）的臨床資料，併選取同期80例接受傳統氣管切開術治療患者為對照組，對比兩組的臨床療效。結果研究組患者的手術時間、切口長度和切口愈閤時間均明顯短于對照組，術中齣血量少于對照組，差異有統計學意義（P<0.05）。研究組患者術後併髮癥髮生率為2.5%，對照組患者術後併髮癥髮生率為17.5%，研究組患者術後併髮癥髮生率明顯低于對照組，差異有統計學意義（P<0.05）。結論臨床對于重癥醫學科危重患者治療中應用改良經皮擴張氣管切開術是可行的，能夠有效減少相關併髮癥，且操作較傳統手術更簡單，值得臨床推廣應用。
목적：탐토개량경피확장기관절개술재중증의학과위중환자중적응용효과。방법회고성분석본원중증의학과2011년1월~2012년12월수치적80례개량경피확장기관절개술치료환자（연구조）적림상자료，병선취동기80례접수전통기관절개술치료환자위대조조，대비량조적림상료효。결과연구조환자적수술시간、절구장도화절구유합시간균명현단우대조조，술중출혈량소우대조조，차이유통계학의의（P<0.05）。연구조환자술후병발증발생솔위2.5%，대조조환자술후병발증발생솔위17.5%，연구조환자술후병발증발생솔명현저우대조조，차이유통계학의의（P<0.05）。결론림상대우중증의학과위중환자치료중응용개량경피확장기관절개술시가행적，능구유효감소상관병발증，차조작교전통수술경간단，치득림상추엄응용。
Objective To explore the application effect of improved percutaneous dilational tracheotomy on critical pa-tient in intensive care unit(ICU). Methods A retrospective method was used.Clinical data of 80 patients(research group) undergone improved percutaneous dilational tracheotomy in our ICU from January 2011 to December 2012 were ana-lyzed,80 patients undergone conventional tracheotomy in the same time were selected as control group.Clinical thera-peutic effect between two groups was compared. Results The operation time,length of incision and wound healing time in research group was significantly shorter than that in control group respectively,amount of intraoperative bleeding in research group was less than that in control group,with statistical difference(P<0.05).The incidence rate of postoperative complication in research group was 2.5%,while in control group,the incidence rate was 17.5%.The incidence rate of postoperative complication in research group was greatly lower than that in control group,with statistical difference (P<0.05). Conclusion Clinical application of improved percutaneous dilational tracheotomy in critical patients of ICU is feasible.It can effectively reduce related complication and the operation is easier than traditional one,which is worthy of clinical application and promotion.
