经皮扩张气管切开术在ICU急危重症合并感染患者中的临床应用分析

发布时间：2019-03-17 08:07

【摘要】：目的探讨经皮扩张气管切开术用于ICU急危重症合并感染患者的临床价值,为临床治疗提供依据。方法通过分析医院2013年7月-2015年7月收治50例ICU急危重症合并感染患者临床资料,随机分为观察组和对照组各25例,对照组行常规气管切开术,观察组患者行经皮扩张气管切开术,观察两组临床疗效。结果观察组患者手术时间、术中出血量、切口长度、生命体征波动和愈合时间等手术指标显著低于对照组,比较差异有统计学意义(P0.05);两组患者术后出现切口出血、皮下气肿、切口溢痰、切口感染等并发症,观察组患者有2例出现并发症,发生率为8.00%,对照组有12例,发生率为48.00%,组间并发症发生率比较差异有统计学意义(P0.05)。结论经皮扩张气管切开术用于治疗ICU急危重症并发感染患者较传统气管切开术可有效缩短手术时间、减少术中出血量,手术成功率较高并可有效降低术后并发症发生率,有一定临床指导意义。
[Abstract]:Objective to investigate the clinical value of percutaneous dilatation tracheotomy in patients with acute and critical ICU complicated with infection, and to provide evidence for clinical treatment. Methods from July 2013 to July 2015, 50 patients with ICU complicated with infection were randomly divided into two groups: observation group (n = 25) and control group (n = 25), and the control group (n = 25) received conventional tracheotomy. The patients in the observation group underwent percutaneous dilatation tracheotomy and observed the clinical efficacy of the two groups. Results the operative time, bleeding volume, incision length, vital sign fluctuation and healing time in the observation group were significantly lower than those in the control group (P0.05). Complications such as bleeding of incision, subcutaneous emphysema, sputum spilled from incision and infection of incision occurred in the two groups after operation. In the observation group, complications occurred in 2 cases (8.00%), while in the control group there were 12 cases (48.0%), while in the control group there were 12 cases (48.0%). There was a significant difference in the incidence of complications between groups (P0.05). Conclusion Percutaneous dilatation tracheotomy is more effective than traditional tracheotomy in the treatment of acute and critical patients with ICU complicated with infection. It can effectively shorten the operation time and reduce the amount of bleeding during the operation. The successful rate of operation is high and the incidence of postoperative complications can be effectively reduced. It has certain clinical guiding significance.
【作者单位】：福建医科大学附属第二医院重症医学科;福建医科大学附属第二医院神经外科;
【基金】：福建省自然科学基金资助项目(201005162) 福建省泉州市科技基金资助项目(2013Z107)
【分类号】：R459.7

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