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目的探讨经皮穿刺气管切开术在重症医学科的临床应用效果。方法选择在郑州市中心医院重症监护室接受治疗的重症并需要气管切开的患者100例,将其随机分为传统气管切开术组与经皮穿刺气管切开术组,每组各50例,观察比较两组在手术时需要的时间、手术时的出血量、切口的大小以及手术后切口的愈合时间、并发症等方面的差异。结果经皮穿刺气管切开术组术后情况在手术需要的时间、手术时的出血量、切口愈合时间等方面较传统气管切开术组的效果均较好(P<0.01),更令患者及家属满意。结论经皮穿刺气管切开术在重症医学科中应用时更优越,其能有效的缩短手术时间,易于操作,出血量也少,对患者造成的创伤小等特点,值得推广应用。
Objective To investigate the clinical effect of percutaneous tracheotomy in critical medical subjects. Methods One hundred patients who underwent severe trauma and who needed tracheotomy in the intensive care unit of Zhengzhou Central Hospital were enrolled. They were randomly divided into traditional tracheotomy group and percutaneous tracheotomy group, 50 cases in each group . The differences between the two groups in the time required for surgery, the amount of bleeding during surgery, the size of the incision, the healing time of the incision after operation, complications and the like were observed and compared. Results The postoperative outcome of percutaneous tracheotomy group was better than that of traditional tracheotomy group (P <0.01) in terms of the time required for operation, the amount of bleeding during operation, the healing time of incision, and more And family satisfaction. Conclusion Percutaneous tracheotomy is superior in the application of critical medical science. It can shorten the operation time, ease of operation, less bleeding and less trauma to patients. It is worth popularizing and applying.