实时超声引导经皮气管切开术在ICU中的应用
投稿时间:2018-01-26  修订日期:2018-03-21  点此下载全文
引用本文:韩彦峰,邹淑伟,陈卫挺.实时超声引导经皮气管切开术在ICU中的应用[J].医学研究杂志,2018,47(12):88-90,109
DOI: 10.11969/j.issn.1673-548X.2018.12.021
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作者单位E-mail
韩彦峰 318000 台州市中西医结合医院超声科  
邹淑伟 317500 温岭市妇幼保健院超声科  
陈卫挺 318000 台州市中西医结合医院ICU chenweitingwl@sina.com 
基金项目:浙江省医药卫生科技计划项目(2018KY919)
中文摘要:目的 本研究旨在探讨实时超声引导下经皮扩张气管切开术(ultrasound guided percutaneous dilatational tracheostomy,US-PDT)同常规经皮扩张气管切开术(PDT)在ICU患者中的临床应用情况。方法 选取2016年7月~2017年11月间于台州市中西医结合医院治疗的需行气管切开术的患者共计84例,将其依据超声定位并按照患者的手术困难程度评估将患者分为观察组及对照组,观察组40例,对照组44例。观察组患者采用US-PDT法,对照组患者采用PDT法。分别记录并比较两组患者的手术总时间、手术难易程度、单次穿刺成功率及并发症情况。结果 平均手术时间观察组为10.6±3.2min,对照组为14.2±4.8min,两组比较差异有统计学意义(t=9.532,P<0.05);单次进针成功率观察组为95.00%(38/40),对照组为65.91%(29/44),两组比较差异有统计学意义(χ2=7.541,P<0.05);平均进针深度观察组为18.9±5.2mm,对照组为23.1±6.0mm,两组比较差异有统计学意义(t=11.464,P<0.05)。两组患者不良反应发生率间差异有统计学意义(χ2=8.635,P<0.05)。两组患者的手术难易程度比较,差异有统计学意义(t=7.534,P<0.05)。结论 实时超声引导下经皮扩张气管切开术在临床中应用效果良好,值得推广使用。
中文关键词:实时超声  经皮扩张气管切开术  ICU  预后
 
Application of Real-time Ultrasound Guidance in ICU Patients with Percutaneous Dilated Tracheotomy
Abstract:Objective To discuss the clinical application In ICU patients with percutaneous dilated tracheotomy under real-time ultrasound guidance. Methods We Selected 98 cases of patients who need tracheotomy as the research object from July 2016 to November 2017.The patients were divided into observation group and control group, with 40 cases in observation group and 44 cases in control group, according to ultrasonic localization and according to the degree of operation difficulty of patients.The patients in the observation group were treated with US-PDT, and the patients in the control group were treated with PDT.We recorded the total time of operation, the degree of operation difficulty, the success rate of single puncture and the complication of the two groups. Results The average operation time in the observation group was 10.6±3.2min, in the control group was 14.2±4.8min. There was a statistically significant difference between two groups of patients in (t=9.532, P<0.05). The single puncture success rate which in the observation group was 95% (38/40), in the control group was 65.91% (29/44), there was a statistically significant difference between two groups (χ2=7.541, P<0.05). On the comparson average needle depth, the patients in the observation group was 18.9±5.2mm, the patients in the control group was 23.1±6.0mm. There was a statistically significant difference(t=11.464, P<0.05). There was significant difference in the incidence of adverse reactions between the two groups (χ2=8.635, P<0.05). The differences between the two groups were statistically significant (t=7.534, P<0.05). Conclusion The application of real time ultrasound guided percutaneous dilatation tracheotomy is good in clinical application, and it is worth popularizing.
keywords:Real time ultrasound  Percutaneous dilatation tracheotomy  ICU  Prognosis
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