中医定向透药治疗对颅脑损伤气管套管停留时间和预后的影响  

Effects of Traditional Chinese Medicine Directed Permeabilization Therapy on Tracheal Tube Dwell Time and Prognosis in Patients with Head Injury

作　　者：伦兰娣 王海英[1] 莫肖玲[1] LUN Landi;WANG Haiying;MO Xiaoling(The Peoples Hospital of Dongguan,Dongguang 523000,Guangdong,China)

机构地区：[1]东莞市人民医院,广东东莞523000

出　　处：《实用中医内科杂志》2021年第11期119-121,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：东莞市社会科技发展一般项目(2018507150011366)。

摘　　要：目的探讨中医定向药透治疗对颅脑损伤患者气管套管停留时间和预后的影响。方法选取医院2019年10月—2020年10月收治的120例颅脑损伤患者作为研究对象,按照入院先后顺序原则分为对照组(n=60,给予气管切开护理常规的方法,并落实早期护理治疗)和观察组(n=60,在对照组的基础上联合中医定向透药治疗的方法),观察两组一般临床情况(气管套管停留时间以及住院时间)、炎症因子的变化情况及拔管成功率。结果治疗后,观察组气管套管停留时间、住院时间短于对照组(P<0.05);两组血清炎性指标[C反应蛋白(CRP)、降钙素原(PCT)]均下降,且观察组低于对照组(P<0.05);观察组以及对照组均没有发生拔管失败的情况(P>0.05)。结论中医定向透药治疗能缓解炎症反应,缩短患者气管套管停留时间以及住院时间,不影响拔管成功率。Objective To investigate the effect of traditional Chinese medicine directed permeabilization on tracheal cannula residence time and prognosis of patients with head injury. Methods A total of 120 patients with head injury admitted to our hospital from October 2019 to October 2020 were selected as the study subjects, and were divided into control group(n=60,method of administering tracheotomy care routine and implementing early nursing care) and observation group(n=60,method of combined traditional Chinese medicine directed permeabilization therapy on a control basis) according to the order of admission followed by patients’ voluntary. The general clinical conditions(length of patients’ tracheal cannula stay as well as length of hospital stay),changes in inflammatory factors and extubation success rate were were observed. Results After treatment, the length of tracheal cannula stay and hospital stay in the observation group were shorter than those in the control group(P<0.05). Serum inflammatory markers[C-reactive protein(CRP), procalcitonin(PCT)] were decreased in both patients and lower in the observation group than those in the control group(P<0.05). Extubation failure did not occur in the observation group as well as in the control group(P>0.05). Conclusions Traditional Chinese medicine directed permeabilization can relieve the inflammatory response and reduce the length of patients’ tracheal cannula stay as well as the hospital stay, which will not affect the success rate of extubation.

关 键 词：中医定向 药透治疗 颅脑损伤 气管套管 

分 类 号：R248[医药卫生—中医临床基础]