Comparison of the Application of Fiberbronchoscope-guided Percutaneous Dilated Tracheotomy and Open Tracheostomy in the Intensive Care Unit
Objective:To compare the application effects of open tracheostomy and fiberbronchoscope-guided percutaneous dilated tracheotomy in the Intensive Care Unit.Method:A total of 82 patients treated in the Intensive Care Unit of Bijie Hospital of Traditional Chinese Medicine from December 2021 to March 2023 were selected as the study objects,they were divided into study group and conventional group according to random number table method,with 41 patients in each group.Fiberbronchoscope-guided percutaneous dilated tracheotomy was performed in the study group,and open tracheostomy was performed in the conventional group.The levels of surgical indicators and vital signs[blood oxygen saturation(SpO2),heart rate(HR),mean arterial pressure(MAP)]of the two groups were compared,the success rate of the first catheterization was calculated,and the incidence of postoperative complications was compared between the two groups.Result:The amount of intraoperative blood loss in the study group was less than that in the conventional group,the operation time was shorter than that in the conventional group,and the length of neck scar was shorter than that in the conventional group,the differences were statistically significant(P<0.05).When tracheotomy was implanted,HR and MAP levels in both groups were higher than those before tracheotomy,and SpO2 levels were lower than those before tracheotomy,however,SpO2 level in the study group was higher than that in the conventional group,while HR and MAP levels were lower than those in the conventional group,the differences were statistically significant(P<0.05).The success rate of the first catheterization in the study group was 92.68%,which was significantly higher than 73.17%in the conventional group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the study group was significantly lower than that in the conventional group,the difference was statistically significant(P<0.05).Conclusion:Fiberbronchoscope-guided percutaneous dilated tracheotomy in Intensive Care Unit can improve surgical indicators,has high safety,and can increase the success rate of first catheterization,and has a lower risk of postoperative complications.
Open tracheostomyFiberbronchoscopePercutaneous dilated tracheotomyIntensive Care UnitComplication
万方数据
维普
