经皮扩张气管切开术在ICU的应用和护理

目的探讨运用经皮气管扩张切开术（PDT）在重症监护病房（ICU）中的应用效果和护理。方法以气管切开术患者40例为研究对象,随机分为标准的开放性气管切开术（OT）组和经皮扩张气管切开术（PDT）组,每组20例,比较两组的手术时间、术中出血量及术后出血量,并总结分析行PDT患者的护理过程。结果 PDT组手术时间为（10.82±1.47）min、术中出血量及术后出血量分别为（5.86±0.18）mL、（3.21±0.13）mL,与OT组比较,P〈0.01。结论与标准的外科气管切开术组比,PDT手术时间短,出血量少,更加易于护理。

Application and nursing of the percutaneous dilatational tracheostomy in intensive care unit

Objective To investigate the effects and nursing of the percutaneous dilatational tracheostomy（PDT） in intensive care unit（ICU）.Methods Forty PDT patients were equally randomized into open tracheostomy（OT） group and PDT group.The operative time,the intraoperative blood loss and the postoperative bleeding volume in the two groups were compared.The nursing process of PDT patients was summarized and analyzed.Results In PDT group,the operative time was（10.82±1.47） min,the intraoperative blood loss was（5.86±0.18） mL,and the postoperative bleeding volume was（3.21±0.13） mL.Compared with OT group,they were much shorter and lower（P0.01）.Conclusion Compared with standard tracheostomy surgery,PDT has shorter operative time and less blood loss and easier nursing.