经皮穿刺气管切开术在ICU临床应用

摘要

目的 探讨经皮穿刺气管切开术(PT)在ICU临床应用疗效及安全性.方法 选择我院ICU 120例重症患者,随机进行经皮穿刺气管切开术(57例)及传统气管切开术(OT)(63例),在手术时间、出血量、并发症等进行比较.结果 PT组手术时间为(11.21±4.97 )min,明显较OT组(26.31±8.42) min短,P＜0.001；出血量(16.5±5.72)ml,明显少于OT组(41.83±10.05) ml,P＜ 0.001.经皮穿刺气管切开术患者在手术时间、出血量均较传统气管切开术有显著性差异,并发症少.结论 经皮穿刺气管切开术具有手术时间短,快速,出血量少,并发症少,值得推广使用,并可作为ICU医师必须掌握气道医疗技术之一.%Objective To explore the safety and efficacy of percutaneous dilational tracheostomy ( PDT ) in intensive care unit.Methods 120 critically ill patients in ICU were randomly assigned to receive PDT ( 57 patients ) and traditional tracheostomy ( OT ) ( 63 patients ).The surgical duration,bleeding volume,and related complications were compared between the two groups.Results The surgical duration was obviously shorter and bleeding volum was markedly smaller in PDT group than in OT group[( 11.21 ± 4.97) minvs.(26.31 ± 8.42min) and ( 16.5 ± 5.72) mlvs.(41.83 ± 10.05) ml,P＜ 0.001 for both comparisons],revealing a significant difference.Fewer complications were found in PDT group.Conclusions Percutaneous dilational tracheostomy has shorter surgical duration, less blood loss,and fewer complications.It is worth popularizing and can be a necessary skill of airway management in ICU.