摘要
目的 :观察改良式经皮扩张气管造口术 (IPDT)与经皮扩张气管造口术 (PDT)在危重患者气管造口时的实用性及特点。方法 :130例需长期机械通气的 ICU危重患者被随机分为 PDT组 ( 组 )及 IPDT组( 组 )。观察比较 2组间手术操作时间、出血量、并发症发生率、费用和拔管后伤口愈合时间。结果 :2组间手术操作时间、出血量、并发症发生率和拔管后切口愈合时间均无明显的差异 (P均 >0 .0 5 ) ,但 IPDT技术的手术及材料花费明显降低 (P<0 .0 1) ,且置管进入假道的危险明显减少。结论 :与 PDT相比 ,IPDT在创伤性、并发症、手术操作简便易行性等方面达到与 PDT相当的性能 ,但手术及材料费用明显减少。
Objective:To investigate practicability and characteristics of improved percutaneous dilatational tracheostomy(IPDT) and conventional percutaneous dilatational tracheostomy(PDT).Methods:One hundred and thirty critically ill patients scheduled for tracheostomy were randomly divided into two groups:PDT group (groupⅠ, n =57)and IPDT group (groupⅡ, n =73).The time of operation,bleeding,complications and healing time of wounds were recorded.Results:There was no significant difference in the time of operation,bleeding,complications and healing time of wounds between two groups(all P >0 05).But the costefficiency in group Ⅱwas markedly lower than that in group Ⅰ.Conclusions:Compared with PDT,IPDT has similar safety and practicability,but lower cost.
出处
《中国危重病急救医学》
CAS
CSCD
2002年第9期554-555,共2页
Chinese Critical Care Medicine
基金
广东省医学科研基金资助项目 (No.A2 0 0 5 3 1)
