超早期气管切开术对原发性幕上大量脑出血手术患者的效果分析  

Effect of Ultra-Early Tracheotomy for Patients with Spontaneous Massive Intracerebral Hemorrhage Surgery

作　　者：方水桥 徐力[1] 赖勇[1] 苏瑞林[1] 陈涛[1] FANG Shuiqiao XU Li LAI Yong SU Ruilin CHEN Tao(2^nd Department of Neurosurgery, Zhanjiang Central People＇s Hospital, Zhanjiang 524037, Chin)

机构地区：[1]广东省湛江中心人民医院神经外二科,广东湛江524037

出　　处：《临床医学工程》2016年第12期1645-1646,共2页Clinical Medicine & Engineering

摘　　要：目的研究超早期气管切开术用于原发性幕上大量脑出血手术治疗中的效果。方法随机抽取我院收治的原发性幕上大量脑出血患者80例作为研究对象,全部患者均接受开颅手术和气管切开术。根据气管切开术的时间将其进行分组:观察组患者的气管切开术时间为开颅手术前,为超早期气管切开术;对照组患者为开颅术后3 d内行气管切开术,为早期气管切开术。比较两组患者的存活率、并发症发生率、气管套管留置时间、住院时间、日常生活自理能力等指标。结果观察组患者的存活率为90.48%,显著高于对照组的73.68%(P<0.05)。观察组患者的并发症发生率为10.53%,显著低于对照组的35.71%(P<0.05)。观察组患者的气管套管留置时间和住院时间显著短于对照组,ADL评分显著高于对照组(P<0.05)。结论对原发性幕上大量出血患者在开颅手术前进行气管切开术效果显著,有助于改善预后,提高抢救成功率,值得推广应用。Objective To explore the effect of ultra-early tracheotomy for patients with spontaneous massive intracerebral hemorrhage surgery. Methods 80 cases of patients with spontaneous massive intracerebral hemorrhage admitted to our hospital were selected as research objects. All cases received craniotomy and tracheotomy. According to the time of tracheotomy, all cases were divided into two groups. The observation group received tracheotomy before craniotomy, while the control group received tracheotomy within 3 days after craniotomy. The survival rate, incidence of complications, retention time of tracheal tube, length of hospital stay and ability of daily living （ADL） were compared between two groups. Results The survival rate of observation group was 90.48%, significantly higher than 73.68% of control group （P〈0.05）. The incidence of complications of observation group was 10.53%, significantly lower than 35.71% of control group （P〈0.05）. The retention time of tracheal tube and length of hospital stay of observation group were significantly shorter than those of control group, and the ADL score was significantly higher than that of control group （P 〈0.05）. Conclusions For patients with spontaneous massive intracerebral hemorrhage, tracheotomy before craniotomy has significant effect, which can help to improve patients＇ prognosis and improve the rescue success rate.

关 键 词：超早期气管切开术 原发性幕上大量脑出血 效果 

分 类 号：R722.151[医药卫生—儿科]