摘要
目的:分析早期气管切开术在重症颅脑外伤和脑出血治疗中的应用效果及对患者预后的影响。方法:选取2019年4月—2021年2月六盘水市人民医院收治的68例颅脑外伤与脑出血患者,按照盲选抽签法分为研究组(34例)和常规组(34例)。常规组进行常规脑外伤和脑出血治疗,研究组在此基础上进行早期气管切开术,观察和比较两组的治疗效果、治疗前后神经功能缺损评分、肺部感染发生率。结果:研究组治疗总有效率(97.06%)比常规组(82.35%)高(P<0.05)。治疗前两组神经功能缺损评分对比无显著差异(P>0.05),治疗后常规组的神经功能缺损评分[(59.68±6.43)分]比研究组[(30.54±3.98)分]高(P<0.05)。研究组的肺部感染发生率(2.94%)比常规组(20.59%)低,P<0.05。结论:对颅脑外伤与脑出血患者实施早期气管切开术的效果较好,能够改善其神经功能,降低其肺部感染的发生率。
Objective:To analyze the application effect of early tracheotomy in the treatment of severe craniocerebral injury and cerebral hemorrhage and its influence on the prognosis of patients.Methods:68 patients with craniocerebral trauma and cerebral hemorrhage admitted to Liupanshui People’s Hospital from April 2019 to February 2021 were selected and divided into study group(34 cases)and routine group(34 cases)according to blind selection lottery method.The conventional group was treated with routine brain trauma and cerebral hemorrhage,and the study group performed early tracheotomy on this basis,and observed and compared the therapeutic effect,neurological impairment score before and after treatment,and the incidence of pulmonary infection between the two groups.Results:The total effective rate of the study group(97.06%)was higher than that of the conventional group(82.35%)(P<0.05).There was no significant difference in neurological impairment score between the two groups before treatment(P>0.05),and the neurological impairment score of the conventional group((59.68±6.43)points)was higher than that of the study group((30.54±3.98)points)(P<0.05).The incidence of pulmonary infection in the study group(2.94%)was lower than that in the conventional group(20.59%),P<0.05.Conclusion:The effect of early tracheotomy on patients with craniocerebral trauma and cerebral hemorrhage is good,which can improve their nerve function and reduce the incidence of pulmonary infection.
作者
任天禄
REN Tianlu(Department of Neurosurgery,Liupanshui People’s Hospital,Guizhou Provin ce,Liupanshui 553000,China)
关键词
颅脑外伤
早期气管切开术
脑出血
肺部感染
craniocerebral trauma
Early tracheotomy
Cerebral hemorrhage
Pulmonary infection
