重型颅脑损伤患者不同气管切开时机的临床疗效对比  

Contrast of clinical curative effect of tracheotomy in different time for severe craniocerebral injury

作　　者：林小平 孙强 童坚文 

机构地区：[1]江西省上饶县人民医院脑外科,江西上饶334100

出　　处：《中国当代医药》2013年第29期55-56,共2页China Modern Medicine

摘　　要：目的 研究重型颅脑损伤患者不同气管切开时机的临床疗效.方法 选取本院2011年3月～2013年5月收治的重型颅脑损伤气管切开患者80例,随机分为实验组和对照组.实验组患者40例,采取早期气管切开.对照组患者40例,采取晚期气管切开.分析两组患者的临床疗效以及不良发应发生情况.结果 实验组患者治愈37例,死亡3例；对照组患者治愈31例,死亡9例.实验组发生肺部感染5例,皮下气肿3例,低氧血症2例；对照组发生肺部感染11例,皮下气肿7例,低氧血症5例.两组有效率及不良反应发生率比较,差异有统计学意义（P＞0.05）.结论 掌握好气管切开时机是提高重型颅脑损伤治疗效果,降低术后并发症的可行途径,值得临床广泛推广.Objective To study the clinical curative effect of tracheotomy in different time for patients with severe craniocerebral injury. Methods 80 patients with severe craniocerebral injury, who received treatment and tracheotomy in our hospital from March 2011 to May 2013, were selected and divided into trial group （40 cases） and control group （40 cases） ,and two groups were given early tracheotomy and late tracheotomy respectively. After the trial, the clinical curative effect and adverse reaction in both groups were statistically analyzed. Results There were 37 cases cured and 3 cases of death in trial group, while 31 cases cured and 9 cases of death in control group. There were 5 cases of pul- monary infection, 3 cases of subcutaneous emphysema, and 2 cases of hypoxemia in trial group, while 1 l cases, 7 cas- es, and 5 cases in control group, respectively. The clinical curative effect and adverse reaction in both groups showed significant difference （P〈0.05）. Conclusion Mastering time of tracheotomy is feasible way to improve clinical curative effect and reduce postoperative complications, and is worth clinical promotion.

关 键 词：重症颅脑损伤 气管切开 临床分析 

分 类 号：R651.15[医药卫生—外科学]