首页|早期气管切开术治疗颅脑外伤与脑出血患者的效果分析

早期气管切开术治疗颅脑外伤与脑出血患者的效果分析

扫码查看
目的 探究早期气管切开术对颅脑外伤与脑出血患者的影响及作用.方法 方便选择2021年8月—2023年8月泉州台商投资区医院收治的74例颅脑外伤与脑出血患者为研究对象,根据入院先后顺序分为对照组、观察组,各37例,对照组在患者发病24 h后实施气管切开术治疗,观察组实施早期(24 h内)气管切开术治疗,对比两组临床疗效、临床指标、并发症发生情况、神经受损评分及生活质量.结果 观察组临床总有效率高于对照组(94.59%vs 75.68%),差异有统计学意义(χ2=5.232,P<0.05).观察组气管导管拔管时间、意识恢复时间以及住院时间均短于对照组,观察组并发症总发生率少于对照组,观察组神经受损评分低于对照组,观察组生活质量各项指标评分均高于对照组,差异有统计学意义(P均<0.05).结论 对颅脑外伤与脑出血患者进行早期气管切开术治疗可以提高治疗效果,降低患者并发症风险,改善患者临床指标,促进神经功能恢复,提高患者生活质量.
Effect of Early Tracheotomy on Patients with Craniocerebral Trauma and Cerebral Hemorrhage
Objective To explore the effect of early tracheotomy on patients with craniocerebral trauma and cerebral hemorrhage.Methods A total of seventy-four patients with craniocerebral trauma and cerebral hemorrhage admitted to Quanzhou Taiwanese Investment Zone Hospital from August 2021 to August 2023 were conveniently selected as the study objects and divided into control group and observation group according to the order of admission,thirty-seven cases in each group.The control group received tracheotomy 24 hours after the onset of the disease,and the observa-tion group received early tracheotomy(within 24 hours).The clinical efficacy,clinical indexes,complications,national institute of health stroke scale and quality of life of the two groups were compared.Results The total clinical effective rate of the observation group was higher than that of the control group(94.59%vs 75.68%),and the difference was sta-tistically significant(χ2=5.232,P<0.05).Tracheal catheter extubation time,consciousness recovery time and hospital-ization time in observation group were shorter than those in control group,the total incidence of complications in the observation group were less than those in the control group,the nerve damage score of the observation group was lower than that of the control group,the scores of quality of life in the observation group were significantly higher that those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Early tracheotomy for patients with craniocerebral trauma and cerebral hemorrhage can improve the therapeutic effect,reduce the risk of complications,improve the clinical indicators of patients,promote the recovery of neurological function,and improve the quality of life of patients.

Early tracheotomyTraumatic brain injuryCerebral hemorrhageTherapeutic effect

林春铭、叶再发、陈瑀豪

展开 >

泉州台商投资区医院神经外科,福建泉州 362123

早期气管切开术 颅脑外伤 脑出血 治疗效果

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(5)
  • 18