摘要
目的 研究微创气管切开术的应用效果和价值。方法 6 0例预防性气管切开患者 ,被随机等分为 2组 ,组 1采用微创技术 ,组 2采用传统技术。记录操作时间和成功率 ,操作中BIS、HR、MAP、RR和SpO2 的变化 ,以及并发症和伤口愈合情况。结果 (1)组 1、组 2成功率均为 10 0 % ,操作时间为 (5 .6± 3.2 )min和 (9.2± 4 .1)min ,差异显著。 (2 )扩张气管壁过程中 ,组 2的BIS和MAP明显大于组 1。 (3)术后组 2出现切口疼痛和凹陷性瘢痕病例明显多于组 1。结论 微创气管切开术成功率高、操作迅速、创伤小、遗留瘢痕小 ,有更广泛应用前景。
Objective To study clinical evaluation of minitracheotomy. Methods Sixty patients of preventive incision were selected and divided into 2 groups equally with each group 30 cases. Group l were used traditional tracheotomy, group 2 were used minitracheotomy. The patients were administered fentanyl 2～4 μg/kg and midazolam 0.02～0.04 mg/kg by intravenous injection. To observe and to compare the time to operation, the successful rate, the changes of BIS, HR, MAP, RR和SpO 2 at T1 (before administered drug), T2(beginning operation), T3(incising skin), T4(expanding by expander between the two tracheal cartilaginous ring in group l, cutting the two tracheal cartilaginous ring in group 2), T5 (expanding again by the special spreading forceps in group l, expanding by a vascular forceps in group 2), T6 (inserting tracheal incision tube), the complications and the healing of incisions. When P<0.05 was regarded as having statistical significance. Results (1) The successful rates of group 1 and group 2 were 100%, respectively time to operation was (5.7± 3.2)minutes and (9.2±4.1) minutes, there was a obvious difference between them. (2) To compare at T4, BIS of group 2 was obviously more than that of group 1. To compare at T4 and T5, MAP of group 2 was significantly higher than that of group 1. (3) There were no obvious changes of respiration. (4) There were more patients who had incision ache and excavated scar in group 2 than group 1. Conclusion Minitracheotomy is a good method with operating easily, high successful rate, little damage, small scar. It has a better prospect of application than traditional tracheotomy.
出处
《口腔颌面外科杂志》
CAS
2003年第3期207-210,共4页
Journal of Oral and Maxillofacial Surgery
