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目的探讨ICU危重症患者实施经皮扩张气管切开术的临床效果及护理方式。方法选取2015年1月到2017年1月本院收治的70例ICU危重症患者进行研究,采取随机数字表法将患者分为传统组和扩张组,每组35例,传统组患者实施传统开放气管切开术治疗,扩张组患者实施经皮扩张气管切开术治疗,所有患者术中进行护理干预,分析2组患者的手术效果。结果扩张组患者手术出血量、手术时间、手术切口长度较传统组低,扩张组患者术后并发症发生率与传统相比明显较低,差异有统计学意义(P<0.05)。结论 ICU危重症患者实施经皮扩张气管切开术效果优良。
Objective To investigate the clinical effects and nursing methods of percutaneous dilation tracheotomy in critically ill patients with ICU. METHODS: Seventy ICU critically ill patients admitted to our hospital from January 2015 to January 2017 were enrolled. Patients were divided into conventional group and extended group with 35 patients in each group according to random number table. Tracheotomy was performed. Patients in the dilatation group were treated by percutaneous dilation and tracheotomy. All patients received nursing intervention during the operation, and the surgical outcomes of the two groups were analyzed. Results The volume of operation bleeding, operation time and incision length of the patients in the expansion group were lower than those in the traditional group. The incidence of postoperative complications in the expansion group was significantly lower than that in the traditional group (P <0.05). Conclusion ICU critically ill patients with percutaneous dilation tracheotomy effect is good.