重症脑外伤患者气管切开术的治疗效果及对其临床症状的改善作用分析  

Analysis of the Therapeutic Effect of Tracheotomy on Patients with Severe Brain Injury and Its Improvement on Clinical Symptoms

作　　者：张智良 ZHANG Zhiliang(Department of Neurosurgery,Fuqing Hospital,Fuzhou 350300,China)

机构地区：[1]福建省福清市医院神经外科,福州350300

出　　处：《中国医药指南》2024年第15期91-93,共3页Guide of China Medicine

摘　　要：目的 重症脑外伤患者采用气管切开术治疗,研究气管切开术的疗效优势。方法 本次研究选择2021年6月至2023年6月本院收治的100例重症脑外伤患者,以随机抽签方法加以分组,其中对照组纳入50例患者,施行气管插管术治疗;研究组同样纳入50例患者,行气管切开术治疗。对比组间的治疗效果及其临床症状的改善作用。结果 研究组患者生活质量评分优于对照组患者(P<0.05)。两组患者治疗前神经功能恢复情况和认知功能状态对比,差异无统计学意义(P>0.05);治疗后,研究组患者神经功能恢复情况和认知功能状态优于对照组患者(P<0.05)。研究组患者并发症发生率低于对照组患者(P<0.05)。研究组患者治疗满意度高于对照组患者(P<0.05)。结论 重症脑外伤患者气管切开术可以有效地维护患者生命体征的稳定,降低呼吸机相关肺炎的发生率,并改善脑水肿等其他临床症状。Objective To study the therapeutic effect of Tracheotomy in patients with severe brain injury.Methods In this study,100 patients with severe brain injury admitted to our hospital from June 2021 to June 2023 were randomly divided into groups.The control group included 50 patients who were treated with tracheal intubation;The study group also included 50 patients who were treated with tracheotomy.Randomly compare the treatment effects and improvement of clinical symptoms between groups.Results The quality of life score of the patients in the study group was better than that of the patients in the control group(P<0.05).There was no statistical difference between the two groups in terms of neurological recovery and cognitive functional status before treatment(P>0.05).After treatment,the neurological recovery and cognitive functional status of the patients in the study group were better than those in the control group(P<0.05).The complications of the study group patients were lower than those of the control group patients(P<0.05).The treatment satisfaction of the study group patients was higher than that of the control group patients(P<0.05).Conclusions Tracheotomy can effectively maintain the stability of vital signs,reduce the incidence of ventilator-associated pneumonia,and improve other clinical symptoms such as brain edema in patients with severe brain injury.

关 键 词：重症脑外伤 气管切开术 治疗效果 临床症状 

分 类 号：R651.15[医药卫生—外科学]