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目的探讨改良经皮扩张气管切开包行气管切开术的应用价值。方法回顾性分析212例行气管切开的危重患者,使用改良经皮气管切开包组(改良PDT组)125例和使用Portex套具组(PDT组)87例。观察比较两组手术时间、费用、出血量、拔管后愈合时间和并发症发生率。结果两组手术操作时间、出血量、拔管后愈合时间和并发症发生率比较差异均无统计学意义(P>0.05),但改良PDT组手术费用明显降低(P<0.01)。结论改良经皮扩张气管切开包使用效果确切,在手术操作简便易行性、创伤性等方面达到与Portex套具相当的性能,且手术费用明显减少,值得推广应用。
Objective To explore the value of tracheotomy for percutaneous dilation and tracheostomy. Methods A total of 212 patients with tracheotomy were retrospectively analyzed. Among them, 125 patients underwent modified tracheostomy (PDT group) and 87 patients underwent PDEX group (PDT group). The operation time, cost, blood loss, healing time after extubation and complication rate were observed and compared. Results There was no significant difference in operative time, bleeding volume, healing time after tracheal extubation and incidence of complications between the two groups (P> 0.05). However, the operation cost of the modified PDT group was significantly lower (P <0.01). Conclusion The improved percutaneous dilation tracheostomy bag has the exact effect and achieves the equivalent performance to Portex set in the aspects of operation and ease of operation and trauma, and the operation cost is obviously reduced, which is worth popularizing and applying.