Comparison of the effects of percutaneous tracheostomy and conventional tracheostomy for patients with severe acute respiratory syndrome

Abstract

Objective To compare the application effects of percutaneous tracheotomy and the traditional tracheotomy for patients in ICU. Methods From February 2015 to June 2016, 56 patients in ICU of the First Hospital of Ninghai County were selected in the research and randomly divided into two groups according to the digital table, with 28 cases in each group.The traditional group received traditional tracheotomy.The percutaneous group received the percutaneous tracheotomy.The surgical blood loss, operative time, incision length, scar area, incision healing time, mechanical ventilation time, survival rate and incision infection, subcutaneous emphysema, trachea collapse and other complications were compared between the two groups. Results The operative blood loss, operative time, incision length, scar area, incision healing time, mechanical ventilation time in percutaneous group were (3.14±0.15)mL, (10.02±3.53)min, (1.52±1.52)cm, (1.18±0.12)cm2, (3.53±0.44)d, (5.73±1.13)d, respectively, which in the control group were (7.24±1.91)mL, (30.98±11.72)min, (5.26±5.26)cm, (5.72±1.95)cm2, (7.46±1.25)d, (5.67±1.82)d, respectively, the blood loss, operative time, incision length, operation scar area, incision healing time between the two groups had statistically significant differences (t=8.635, 8.052, 8.155, 8.742, 9.251, all P<0.05). The survival rate of the two groups was 100.0%.The incidence rate of incision infection, subcutaneous emphysema, trachea collapse in the percutaneous group was 17.86%, which was significantly lower than 64.29% in the traditional group, the difference was statistically significant(χ2=15.014, P<0.05). Conclusion Percutaneous tracheotomy and the traditional tracheotomy have certain effect for patients in ICU, compared with traditional tracheotomy, percutaneous tracheotomy has less blood loss, less operation time, can reduce the complications, and can replace traditional tracheotomy for rescue and treatment for ICU patients. Key words: Tracheotomy; Respiration, artificial; Intensive care units; Infection; Subcutaneous emphysema; Controlled clinical trial