Observation of the effect of ultra-early tracheal intubation on patients with severe craniocerebral injury
Objective To investigate the effect of ultra-early tracheal intubation on patients with severe craniocerebral injury.Methods 60 patients with severe craniocerebral injury were selected and divided into an observation group(receiving ultra-early tracheal intubation)and a control group(receiving conventional tracheal intubation)according to random number table method,each with 30 cases.Both groups were compared in terms of vital signs[mean arterial pressure(MAP),heart rate(HR),blood oxygen saturation(SpO2)],life ability score,clinical efficacy,incidence of pulmonary infection,respiratory function indicators[respiratory rate(RR),arterial partial pressure of carbon dioxide(PaCO2),arterial partial pressure of oxygen(PaO2)].Results In the observation group,MAP,SpO2 and HR were(88.65±7.96)mm Hg(1 mm Hg=0.133 kPa),(97.29±1.78)%and(71.12±4.20)beats/min,which were higher than(63.83±7.08)mm Hg,(92.02±1.84)%and(64.26±3.50)beats/min in the control group,and the difference was statistically significant(P<0.05).After treatment,the observation group had higher Barthel index of(58.36±13.16)points than(51.10±12.05)points in the control group,and the difference was statistically significant(P<0.05).The total effective rate of the observation group was 86.67%,which was higher than 60.00%of the control group,and the difference was statistically significant(P<0.05).The incidence of pulmonary infection in the observation group was 3.33%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).The observation group had higher PaO2 of(82.66±23.52)mm Hg than(70.53±21.11)mm Hg in the control group;the observation group had RR of(18.45±2.16)times/min and PaCO2 of(35.41±10.20)mm Hg,which were lower than(21.31±3.10)times/min and(42.75±13.29)mm Hg in the control group;the difference was statistically significant(P<0.05).Conclusion For patients with severe craniocerebral injury,active implementation of ultra-early tracheal intubation can improve patients'vital signs,enhance living ability,reduce the occurrence of pulmonary infection,improve the therapeutic effect of severe craniocerebral injury,and improve respiratory function indicators,which is suitable for clinical promotion.
Severe craniocerebral injuryUltra-early tracheal intubationVital signsLiving abilityEfficacy evaluation
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