医学信息2024，Vol.37Issue(16)：72-75,4.DOI:10.3969/j.issn.1006-1959.2024.16.015
纤维支气管镜提高经皮扩张气管切开术的安全性研究
Study on the Safety of Fiberoptic Bronchoscopy in Improving Percutaneous Dilational Tracheostomy
摘要
Abstract
Objective To explore the application value of fiberoptic bronchoscopy in percutaneous dilational tracheostomy.Methods A total of 64 coma patients with severe traumatic brain injury(sTBI)who were admitted to Yujiang District People's Hospital of Yingtan City from August 2022 to November 2023 were enrolled in the study.They were divided into study group(32 patients)and control group(32 patients)by random number table method.The control group was treated with percutaneous guide wire dilatation forceps tracheotomy(GWDF),while the study group was treated with fiberoptic bronchoscopy combined with GWDF.The degree of mucosal injury,postoperative sputum viscosity,incision bleeding within 24 h after operation,degree of disturbance of consciousness and postoperative complications were compared between the two groups.Results The degree of mucosal injury and postoperative sputum viscosity score in the study group were lower than those in the control group,and the differences were statistically significant(P＜0.05).The degree of incision bleeding and disturbance of consciousness within 24 hours after operation in the study group were better than those in the control group,and the differences were statistically significant(P＜0.05).The incidence of postoperative complications in the study group was 9.38％,which was lower than 34.38％in the control group(P＜0.05).Conclusion Fiberoptic bronchoscopy combined with GWDF can reduce the degree of postoperative mucosal injury and incision bleeding,reduce the sputum viscosity of coma patients with sTBI,improve patients'disturbance of consciousness,and reduce the risk of postoperative complications.关键词
经皮扩张气管切开术/重型颅脑损伤/意识障碍/纤维支气管镜/痰液黏稠度Key words
Percutaneous dilational tracheostomy/Severe traumatic brain injury/Consciousness disorders/Fiberoptic bronchoscopy/Sputum viscosity分类
医药卫生引用本文复制引用
陈红发,刘陈发,姚勃挥,黎鹏飞,吴志超..纤维支气管镜提高经皮扩张气管切开术的安全性研究[J].医学信息,2024,37(16):72-75,4.基金项目
鹰潭市指导性科技计划项目(编号:2023-9-23164) （编号:2023-9-23164）
