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早期气管切开治疗颅脑外伤与脑出血患者的疗效研究 被引量:11

Efficacy Study of Early Tracheotomy in the Treatment of Patients with Traumatic Brain Injury and Cerebral Hemorrhage
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摘要 目的探讨早期气管切开治疗颅脑外伤与脑出血患者的临床疗效。方法该院随机选取了2012年10月—2014年10月期间来治疗的90例颅脑外伤与脑出血患者作为研究对象,利用计算机软件把90例患者随机分成两组,观察组和对照组,每组分别45例患者。给予对照组常规气管切开治疗,观察组早期气管切开治疗,比较观察两组临床治疗效果。结果观察组治疗有效率为84%,对照组治疗有效率为64%;观察组患者并发症机率为11%,病死率为4%,对照组并发症机率为26%,病死率为16%,观察组明显优于对照组。两组差异有统计学意义(P<0.05)。结论对颅脑外伤与脑出血患者实施早期气管切开治疗疗效确切,可将并发症发生机率明显减少,应推广治疗。 Objective To investigate the clinical efficacy of early tracheotomy in the treatment of traumatic brain injury and cerebral hemorrhage. Methods 90 cases with traumatic brain injury and cerebral hemorrhage admitted in our hospital from October2012 to October 2014 were selected as the subjects and randomly divided into two groups, the observation group and the control group with 45 cases in each by computer software. Patients in the control group were treated by conventional tracheotomy and those in the observation group were treated by early tracheotomy. And the clinical outcome of the two groups was observed and compared. Results Compared with the control group, the observation group had much higher response rate(84% vs 64%), obviously lower incidence of complications(11% vs 26%), significantly lower mortality(4% vs 16%) with statistically significant difference( P<0.05). Conclusion For patients with traumatic brain injury and cerebral hemorrhage, early tracheotomy has exact effect, which can greatly reduce the incidence of complications, so it is should be promoted.
出处 《中外医疗》 2015年第27期34-35,共2页 China & Foreign Medical Treatment
关键词 早期气管切开 治疗 颅脑外伤与脑出血患者 疗效研究 Early tracheotomy Treatment Patients with traumatic brain injury and cerebral hemorrhage Efficacy study
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