急诊颅脑创伤患者呼吸支持治疗的临床效果分析  

Clinical Effect Analysis of Respiratory Support Therapy for Emergency Patients with Traumatic Brain Injury

作　　者：王亮[1] 张晓飞 WANG Liang;ZHANG Xiaofei(Emergency Department,Suzhou University The First Affiliated Hospital,Suzhou,Jiangsu 215000)

机构地区：[1]苏州大学附属第一医院急诊外科,江苏苏州215000

出　　处：《智慧健康》2023年第6期205-208,223,共5页Smart Healthcare

摘　　要：目的 分析呼吸支持治疗用于急诊颅脑创伤的价值。方法 回顾性分析2019年8月-2022年7月本院接诊的急诊颅脑创伤患者(n=50),试验和对照组,每组各25例,前者采取呼吸支持疗法,后者行常规治疗。对比死亡等指标。结果 试验组总有效率优于对照组(P<0.05)。治疗后48h,试验组脉氧饱和度、PaCO_(2)和PaO_(2)数据比对照组更好(P<0.05)。治疗后48h,试验组的pH值与对照组相比无显著差异(P>0.05)。试验组的死亡率和植物状态率数据与对照组相比更低(P<0.05)。试验组的并发症发生率与对照组相比更低(P<0.05)。治疗后:试验组ALD评分和对照组相比更高(P<0.05)。结论 急诊颅脑创伤用呼吸支持疗法,血气分析指标改善更加明显,疗效提升更为迅速,并发症发生率也更低,日常生活能力更高,预后也更好。Objective To analyze value of respiratory support therapy for emergency traumatic brain injury.Methods The paper reviewed and analyzed emergency craniocerebral trauma patients(n=50)admitted to our hospital from August 2019 to July 2022.There were 25 patients in experimental and control group,the former was treated with respiratory support therapy and the latter with routine treatment.Related indicators were compared between groups.Results Total effective rate of the experimental group was better than that of the control group(P<0.05).48 hours after treatment,the pulse oxygen saturation,PaCO_(2),and PaO_(2) data in the experimental group were better than those in the control group(P<0.05).48 hours after treatment,there was no significant difference in the pH value between the experimental group and the control group(P>0.05).The mortality rate and plant state rate data of the experimental group were lower than those of the control group(P<0.05).The incidence of complications in the experimental group was lower than that in the control group(P<0.05).After treatment:The ALD score of the experimental group was higher than that of the control group(P<0.05).Conclusion Respiratory support therapy can achieve significant improvement for emergency traumatic brain injury in blood gas analysis indicators,with faster effect improvement,lower complications incidence,higher daily living ability and better prognosis.

关 键 词：呼吸支持治疗 疗效 颅脑创伤 价值 

分 类 号：R651.15[医药卫生—外科学]