Clinical Analysis of Different Types of Tracheal Cannulas Combined with Self-made Blockage Tubes for Postoperative Complications after Tracheotomy
Objective:To explore the clinical analysis of complications after gas resection in oral and maxillofacial patients using a combination of balloon cannula,metal tracheal cannula,and self-made blockage tube.Methods:The study subjects selected 100 patients who underwent oral and maxillofacial tracheostomy at the Affiliated Stomatolog-ical Hospital of Guizhou Medical University from June 2020 to August 2023,and conducted a retrospective analysis of their clinical data.The patients were randomly divided into a group with airbag cannula(47 cases)and a group with airbag cannula and metal cannula(53 cases).Both groups were combined with self-made cannulas.Clinical da-ta,hospitalization time,clinical analysis,treatment methods,pathogenic bacteria of postoperative complications and pneumonia,and relevant factors for pneumonia after gas resection were analyzed.Results:After tracheotomy,the incidence of postoperative pneumonia was 36.00％.Compared with the airbag+metal group,the incidence rate of the airbag group was 2.12％(P＜0.001),the incidence of bleeding was 1％,and subcutaneous emphysema was 1％.The airbag group did not experience tube detachment,while the incidence of tube detachment in the airbag+metal group was 20％.All patients did not experience breathing difficul-ties,difficulty in extubation,or tracheoesophageal fistula.In addition,the results of univariate analysis showed that pa-tients with smoking history,and drinking history had a higher incidence of pneumonia after tracheotomy,which was statistically significant(P＜0.05).Logistic regression anal-ysis found that the duration of tracheal cannula removal and the type of tracheal cannula were comprehensive risk factors for pneumonia after gas resection(OR=0.021,95％CI:0.002-0.19,P＜0.001).Conclusion:After trache-otomy in oral and maxillofacial patients,the routine use of balloon cannula combined with self-made blockage tube can reduce patient hospitalization time,postoperative complications,and the occurrence of pneumonia.
NETL
NSTL
万方数据
维普
