摘要：目的" 探究纤维支气管镜在经皮扩张气管切开术中的应用价值。方法" 以2022年8月-2023年11月鹰潭市余江区人民医院收治的64例重型颅脑损伤(sTBI)昏迷患者为研究对象，经随机数字表法分为研究组(32例)与对照组(32例)。对照组行经皮导丝扩张钳气管切开术(GWDF)治疗，研究组则采用纤维支气管镜联合GWDF治疗，比较两组黏膜损伤程度、术后痰液黏稠度、术后24 h内切口出血程度、意识障碍程度、术后并发症。结果" 研究组黏膜损伤程度及术后痰液黏稠度评分均低于对照组，差异有统计学意义(P<0.05)；研究组术后24 h内切口出血程度、意识障碍程度优于对照组，差异有统计学意义(P<0.05)；研究组术后并发症发生率为9.38%，低于对照组的34.38%(P<0.05)。结论" 纤维支气管镜配合GWDF可减少其术后黏膜损伤程度及切口出血情况，降低sTBI昏迷患者的痰液黏稠度，改善患者意识障碍，降低术后并发症发生风险。

    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

    中图分类号：R651.1+5" " " " " " " " " " " " " " nbsp; " 文献标识码：A" " " " " " " " " " " " " " " DOI：10.3969/j.issn.1006-1959.2024.16.015

    文章编号：1006-1959(2024)16-0072-04

    Study on the Safety of Fiberoptic Bronchoscopy in Improving Percutaneous Dilational Tracheostomy

    CHEN Hong-fa，LIU Chen-fa，YAO Bo-hui，LI Peng-fei，WU Zhi-chao

    (Intensive Care Unit，Yujiang District People's Hospital of Yingtan City，Yingtan 335200，Jiangxi，China)

    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) ......