经皮扩张气管切开术在ICU重症脑出血患者抢救中应用价值
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摘要
目的探究经皮扩张气管切开术应用于ICU重症脑出血患者抢救中的价值。方法随机择取2015年2月至2017年5月我院成功收治的20例重症脑出血患者作为此次研究对象,均分为研究组与对照组,各自为10例。根据不同手术方式,研究组患者予以经皮扩张气管切开术;对照组患者予以传统常规气管切开术。将两组患者各项手术指标、术后并发症发生率做对比分析。结果研究组患者手术时长、术中出血量、切口愈合时间均低于对照组,颈部创面比对照组患者小(P<0.05);研究组患者术后并发症发生率明显低于对照组(P<0.05)。结论经皮扩张气管切开术在ICU重症脑血出患者抢救中,应用价值高,其操作便捷,有效降低了术后并发症发生率。
Objective To investigate the value of transcutaneous dilation tracheotomy in the rescue of ICU patients with severe intracerebral hemorrhage. Methods Twenty patients with severe intracerebral hemorrhage who were successfully treated in our hospital from February 2015 to May 2017 were selected randomly as the study group and the control group, each with 10 cases. According to different operative methods, the patients in the study group were treated by percutaneous dilatation tracheostomy; Patients in the control group were treated by conventional tracheotomy. The two groups of patients with various surgical indicators, the incidence of postoperative complications for comparative analysis. Results The operation time, intraoperative blood loss and incision healing time were all lower in the study group than in the control group, and the neck wound area was smaller than that in the control group(P<0.05). The incidence of postoperative complications in the study group was significantly lower than that in the control group(P<0.05). Conclusion Percutaneous dilation and tracheostomy in the treatment of ICU patients with severe cerebral hemorrhage, high value, and its convenient operation, effectively reducing the incidence of postoperative complications.
Objective To investigate the value of transcutaneous dilation tracheotomy in the rescue of ICU patients with severe intracerebral hemorrhage. Methods Twenty patients with severe intracerebral hemorrhage who were successfully treated in our hospital from February 2015 to May 2017 were selected randomly as the study group and the control group, each with 10 cases. According to different operative methods, the patients in the study group were treated by percutaneous dilatation tracheostomy; Patients in the control group were treated by conventional tracheotomy. The two groups of patients with various surgical indicators, the incidence of postoperative complications for comparative analysis. Results The operation time, intraoperative blood loss and incision healing time were all lower in the study group than in the control group, and the neck wound area was smaller than that in the control group(P<0.05). The incidence of postoperative complications in the study group was significantly lower than that in the control group(P<0.05). Conclusion Percutaneous dilation and tracheostomy in the treatment of ICU patients with severe cerebral hemorrhage, high value, and its convenient operation, effectively reducing the incidence of postoperative complications.
引文
[1]张先江,李茂琴,卢博,等.经皮扩张气管切开术在重症脑出血患者抢救中应用价值[J].现代生物医学进展,2015,15(5):897-899.
[2]何鲤穗,刘玉琪,骆良钦,等.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[J].中华医院感染学杂志,2016,26(14):3225-3227.
[3]宋付民.经皮扩张气管切开术在重症脑出血患者抢救中应用价值[J].世界最新医学信息文摘:连续型电子期刊,2016,16(47):87-88.
[4]张虹,徐艳敏,李海红,等.改良纤维支气管镜下经皮旋转扩张气管切开术在ICU危重患者的应用:附4种方法的对比研究[J].中华危重病急救医学,2017,29(1):61-65.
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[6]李宝嘉,莫泉,施钢基,等.经皮扩张气管切开术在重症脑血管意外患者抢救中的应用价值[J].中国当代医药,2016,23(21):50-53.
[7]孙建兰,丁玉琴.小组系统护理干预对经皮旋转扩张气管切开术重症急救患者的应用研究[J].中国继续医学教育,2016,8(36):159-160.
[8]徐美亚.对进行经皮扩张气管切开术和囊上吸引术的老年危重患者实施全面护理的效果研究[J].当代医药论丛,2016,14(20):182-183.
[9]李爱民,朱安林,刘虓.经皮扩张气管切开术在神经外科重症患者中的应用[J].中华神经外科疾病研究杂志,2017,16(3):268-269.
[10]姜迎潮,叶卉,赵慧花.危重症患者经皮扩张气管切开术的围术期护理[J].护士进修杂志,2016,31(14):1322-1324.
[11]Voigt I,Naber C.Bleeding complications of percutaneous dilatation tracheostomy(PDT)in agroup of ICU patients with dual antiplatelet therapy[J].Critical Care&Shock,2012,15(1):70-76.
[12]Kaese S,Zander MC,Lebiedz P.Successful Use of Early Percutaneous Dilatational Tracheotomy and the No Sedation Concept in Respiratory Failure in Critically Ill Obese Subjects[J].Respiratory Care,2016,76(5):471.
[13]Valizade Hasanloei MA,Mahoori A,Bazzazi AM,et al.Percutaneous dilatational tracheostomy and surgically created thracheostomy in ICU patients[J].Journal of Cardiovascular&Thoracic Research,2014,6(1):43-46.
[14]王星利.研究微创经皮扩张气管切开术在ICU危重患者中的应用价值[J].中国实用医药,2016,11(16):75-76.
[15]Liu LX,Li JD,Luo XZ,et al.Treatment experience on ICU patients with percutaneous dilational tracheotomy and subsequent delayed bleeding[J].Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi,2016,51(7):542-543.
[2]何鲤穗,刘玉琪,骆良钦,等.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[J].中华医院感染学杂志,2016,26(14):3225-3227.
[3]宋付民.经皮扩张气管切开术在重症脑出血患者抢救中应用价值[J].世界最新医学信息文摘:连续型电子期刊,2016,16(47):87-88.
[4]张虹,徐艳敏,李海红,等.改良纤维支气管镜下经皮旋转扩张气管切开术在ICU危重患者的应用:附4种方法的对比研究[J].中华危重病急救医学,2017,29(1):61-65.
[5]尹兴莉,谯建.ICU危重症患者经皮扩张气管切开术的临床应用及护理探讨[J].国际护理学杂志,2016,35(19):2664-2667.
[6]李宝嘉,莫泉,施钢基,等.经皮扩张气管切开术在重症脑血管意外患者抢救中的应用价值[J].中国当代医药,2016,23(21):50-53.
[7]孙建兰,丁玉琴.小组系统护理干预对经皮旋转扩张气管切开术重症急救患者的应用研究[J].中国继续医学教育,2016,8(36):159-160.
[8]徐美亚.对进行经皮扩张气管切开术和囊上吸引术的老年危重患者实施全面护理的效果研究[J].当代医药论丛,2016,14(20):182-183.
[9]李爱民,朱安林,刘虓.经皮扩张气管切开术在神经外科重症患者中的应用[J].中华神经外科疾病研究杂志,2017,16(3):268-269.
[10]姜迎潮,叶卉,赵慧花.危重症患者经皮扩张气管切开术的围术期护理[J].护士进修杂志,2016,31(14):1322-1324.
[11]Voigt I,Naber C.Bleeding complications of percutaneous dilatation tracheostomy(PDT)in agroup of ICU patients with dual antiplatelet therapy[J].Critical Care&Shock,2012,15(1):70-76.
[12]Kaese S,Zander MC,Lebiedz P.Successful Use of Early Percutaneous Dilatational Tracheotomy and the No Sedation Concept in Respiratory Failure in Critically Ill Obese Subjects[J].Respiratory Care,2016,76(5):471.
[13]Valizade Hasanloei MA,Mahoori A,Bazzazi AM,et al.Percutaneous dilatational tracheostomy and surgically created thracheostomy in ICU patients[J].Journal of Cardiovascular&Thoracic Research,2014,6(1):43-46.
[14]王星利.研究微创经皮扩张气管切开术在ICU危重患者中的应用价值[J].中国实用医药,2016,11(16):75-76.
[15]Liu LX,Li JD,Luo XZ,et al.Treatment experience on ICU patients with percutaneous dilational tracheotomy and subsequent delayed bleeding[J].Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi,2016,51(7):542-543.