早期气管切开治疗颅脑外伤和脑出血的临床效果分析  

Clinical Effect Analysis of Early Tracheotomy in the Treatment of Traumatic Brain Injury and Cerebral Hemorrhage

作　　者：朱胜强[1] 王文华[1] 谭卫国[1] 

机构地区：[1]江苏省昆山市中医医院脑外科,江苏昆山215300

出　　处：《中国继续医学教育》2016年第31期110-112,共3页China Continuing Medical Education

摘　　要：目的探析早期气管切开治疗颅脑外伤和脑出血的临床效果。方法选取我院2008年1月-2016年5月收治的60例颅脑外伤和脑出血患者,将其随机分为治疗组和对照组,各30例,对照组采取常规治疗方式,治疗组采取早期气管切开,比较两组治疗效果。结果治疗组有效率86.67%,高于对照组的60.00%,P〈0.05;治疗组治疗后神经功能缺损评分（30.2±4.2）分高于对照组,P〈0.05;治疗组并发症发生率16.67%,病死率3.33%,与对照组比较差异明显,P〈0.05。结论早期气管切开治疗颅脑外伤和脑出血的临床效果确切。Objective To explore the clinical effect of early tracheotomy in the treatment of traumatic brain injury and cerebral hemorrhage. Methods In our hospital from January 2008 to May 2016 were 60 cases of patients with craniocerebral trauma and cerebral hemorrhage, which were randomly divided into treatment group and control group, each of 30 cases, control group received routine treatment, the treatment group take early tracheotomy, treatment effects were compared between the two groups. Results The effective rate of treatment group was 86.67% higher than that of the control group 60.00%, P0.05, after treatment, the neurological deficit scores（30.2±4.2） higher than the control group, P0.05, the 16.67% groups in the incidence of complications, the mortality rate was 3.33%, significant difference compared with the control group, P0.05. Conclusion The clinical effect of early tracheotomy in the treatment of traumatic brain injury and cerebral hemorrhage is significantly.

关 键 词：早期气管切开 颅脑外伤 脑出血 临床效果 

分 类 号：R651.15[医药卫生—外科学]