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本研究的目的是观察经皮气管切开术(PDT和传统气管切开术(OT)在ICU的应用及护理差异。主要采取的方法是临床选择60例患者(分PDT试验组30例及OT对照组30例),观察两组患者的手术操作时间、术中出血量、切口大小及术后并发症并进行比较。发现对照组患者手术操作时间明显高于试验组;对照组患者术中出血量明显高于试验组;对照组患者切口大小明显大于试验组;对照组术后并发症明显多于试验组,且以上差异均有统计学意义。可见,经皮气管切开术(PDT)具有手术切口小、创伤小、操作时间短、术中出血少、术后并发症少等优点,更适合在ICU危重患者抢救中使用,值得临床推广应用。
The purpose of this study is to observe the application and nursing differences of percutaneous tracheotomy (PDT and traditional tracheotomy) in ICU.Mainly taken is the clinical selection of 60 patients (PDT test group 30 cases and OT Control group, 30 cases), the operation time, intraoperative blood loss, incision size and postoperative complications were observed and compared between the two groups.It was found that the operation time of patients in the control group was significantly higher than that of the experimental group; the bleeding in the control group The volume of incision in the control group was significantly larger than that in the experimental group, the postoperative complications in the control group were significantly more than the experimental group, and the above differences were statistically significant.It can be seen that percutaneous tracheotomy (PDT) has Small incision, less trauma, shorter operation time, less intraoperative bleeding and less postoperative complications are more suitable for emergency treatment in critically ill patients. It is worthy of clinical application.