早期气管插管防治卒中相关性肺炎的临床观察  

The Clinical Observation of the Prevention of Stroke Associated Pneumonia by Early Tracheal Intubation

作　　者：刘建辉[1] 贾佩哲 任爱兵[1] 

机构地区：[1]河北保定解放军252医院神经内科,071000

出　　处：《岭南急诊医学杂志》2015年第5期381-383,共3页Lingnan Journal of Emergency Medicine

摘　　要：目的:观察早期气管插管对预防卒中相关性肺炎的价值。方法:将179例脑卒中患者分为早期插管组(76例)和常规插管组(103例),比较两组并发肺炎、呼吸和生理监测指标、治疗效果及神经功能评分等方面的变化情况。结果:早期插管组并发肺炎明显少于常规插管组,插管前后呼吸和生理监测指标较常规插管组明显改善,治疗效果及神经功能评分明显好于常规插管组。结论:早期气管插管可显著减少卒中相关性肺炎的发生,改善通气不足导致的低氧血症,有利于改善中枢神经功能及预后。Objective： To investigate the value of early tracheal intubation for the prevention of stroke associated pneumonia （SAP）. Methods：179 stoke patients were randomly assigned in early tracheal intubation group （n=76） or conventional endotracheal intubation group （n=103）. SAP, respiratory and physiological monitoring index, the therapy effect and neurological function score were compared between two groups. Results： The rate of SAP was lower in the early tracheal intubation group than the other group. Respiratory and physiological monitoring index were more improved, the effect of therapy and neurological function were better in the early tracheal intubation group. Conclusion： Early tracheal intubation can significantly reduce the incidence of SAP, and improve hypoxia induced by ventilation deficiency, also improve the prognosis of central nervous system.

关 键 词：卒中相关性肺炎 气管插管 临床观察 

分 类 号：R743.3[医药卫生—神经病学与精神病学]