超早期气管插管在重型颅脑损伤急诊中的应用效果观察  

Observation on the Effect of Ultra-Early Tracheal Intubation in Emergency Cases of Severe Brain Injury

作　　者：林梅毅[1] 孟晗 曾维新 曾明亮[1] 刘东晖[1] LIN Mei-yi;MENG Han;ZENG Wei-xin;ZENG Ming-liang;LIU Dong-hui(Department of Emergency,Xiamen City Hospital of Traditional Chinese Medicine,Xiamen 361000,China)

机构地区：[1]厦门市中医院急诊科,福建厦门361000

出　　处：《中国医药指南》2020年第15期58-59,共2页Guide of China Medicine

摘　　要：目的分析超早期气管插管在重型颅脑损伤急诊中的应用效果。方法本次选择对象为重型颅脑损伤患者74例,时间在2015年7月至2018年8月,回顾性研究,依据病情发展接受常规气管插管的37例患者为参照组,入院2 h内接受气管插管的37例患者为研究组,最后对应用效果的差异性进行总结。结果对比两组患者治疗前后的PaO2、PaCO2和颅内压,研究组优于参照组,两组间相比较,P<0.05。对比两组患者的肺部感染率,研究组(2.7%)显著低于参照组(16.2%),两组间相比较,P<0.05,对比两组患者预后情况,良好、重度残疾、死亡发生率有差异,研究组明显优于参照组,且P<0.05,中度残疾、植物人发生率对比无差异,P>0.05。结论在重型颅脑损伤急诊中应用超早期气管插管可使患者的缺氧症状得以改善,同时可将肺部感染率降低,有助于预后,值得研究推广。Objective To analyze the effect of ultraearly tracheal intubation in emergency treatment of severe brain injury.Methods 74 patients with severe craniocerebral injury were selected.The time was between July 2015 and August 2018.A retrospective study was conducted.37 patients who received conventional tracheal intubation as a reference group according to their condition were admitted.37 patients who received tracheal intubation within 2 hours were admitted to the study group.Finally,the difference of application effect is summarized.Results The PO2,PCO2 and intracranial pressure were better than those of the reference group before and after treatment.Compared with the lung infection rate of the two groups of patients,the study group(2.7%)was significantly lower than the reference group(16.2%),and the comparison between the two groups was P<0.05.Compared with the prognosis of the two groups,there was a difference in the incidence of good and severe disabilities and deaths.The study group was significantly better than the reference group.And there was no difference in the incidence of P<0.05,moderate disability,and vegetative incidence,P>0.05.Conclusion The use of ultraearly tracheal intubation in the emergency treatment of severe brain injury can improve the hypoxic symptoms of patients,and can reduce the infection rate of lungs,which is helpful for prognosis and worthy of study.

关 键 词：超早期气管插管 重型颅脑损伤 急诊 应用效果 

分 类 号：R651.15[医药卫生—外科学]