Comparative study for application effect of percutaneous dilational tracheostomy in the treatment of critically ill patients
10.3760/cma.j.issn.1673-4904.2017.08.010
- VernacularTitle:介绍一种改良经皮扩张气管切开术
- Author:
Huanming ZHANG
;
Junbo SHI
;
Lizhi FENG
;
Wenfang XIA
;
Yanlei ZHENG
;
Qingshan ZHOU
- Keywords:
Tracheostomy;
Intensive Care;
Modified percutaneous dilational tracheostomy
- From:
Chinese Journal of Postgraduates of Medicine
2017;40(8):710-713
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce a new modified percutaneous dilational tracheostomy and compare the application effect of percutaneous dilational tracheostomy with modified percutaneous dilational tracheostomy in the treatment of critically ill patients. Methods A total of 60 critically ill patients undergoing tracheotomy were selected , and they were randomly divided into two groups according to the methods of tracheotomy. Sex, age, weight, body mass index, acute physiology and chronic health evaluation, operation time, incision size, intraoperative blood loss, incision healing time, incidences of complications after operation were compared between the two groups. Results There were not statistically significant differences of in sex, age, weight, body mass index, and acute physiology and chronic health evaluation between percutaneous dilational tracheostomy group and modified percutaneous dilational tracheostomy group (P>0.05). Operation time, incision size and intraoperative blood loss of modified percutaneous dilational tracheostomy group was statistically significantly shorter than that of percutaneous dilational tracheostomy group [(5.80 ± 1.19) min vs. (7.65 ± 1.05) min, (8.33 ± 3.30) ml vs. (11.33 ± 4.34) ml, (1.08 ± 2.96) cm vs. (1.27 ± 2.54) cm] (P<0.05). The incision healing time and incidence of complications after operation of percutaneous dilational tracheostomy group had no statistical significance compared with modified percutaneous dilational tracheostomy group (P>0.05). Conclusions The modified percutaneous dilational tracheostomy can save operation time, and reduce intraoperative blood loss, so it can be widely used.
