气管切开对老年脑卒中患者预后的影响

Influence of tracheotomy on prognosis of elderly patients with stroke of acute phase

目的探讨气管切开术在老年脑卒中患者的应用及对预后的影响。方法回顾性分析113例老年住院患者,脑出血60例,脑梗死53例,平均年龄72．5岁,除针对病因治疗外,65例给予气管切开,48例未行气管切开。结果气管切开组患者生存率高于未切开组,病死率及肺部感染率低于未切开组。结论选择适宜的时机气管切开对于提高老年脑卒中患者的生存率及控制肺部感染均优于未切开组。

Objective To evaluate the application of tracheotomy in elderly patients with stroke and the effect on their prognosis.Methods 113 elderly patients with stroke were retrospectively analyzed. Among them there were cerebral hemorhage of 60 cases, cerebral infracton of 53;mean age,72.5 years. 65 patients was subjected tracheotomy, 48 patients were not.Results Incidence of pneumonia and mortality of tracheotomied group was less than that of controlled group.Conclusion For elderly patients with stroke, it is noticed that tracheotomy is performed duly has significant effect on their prognosis.