早期标准化气道管理对脑出血患者的影响

Impact of Early Standardized Airway Management on the Prognosis of Patients with Intracerebral Hemorrhage in the Process of First-aid in Emergency

目的探讨在院前急救及院内急诊急救时早期给予标准化气道管理对脑出血患者的影响。方法将院前急救及院内急诊急救时未给予早期标准化气道管理的脑出血患者作为对照组,把给予早期标准化气道管理者作为实验组,比较两组间住院前(院前及院内急诊)误吸的发生率、住院期间肺部感染的发生率、发病48小时内死亡率、病后30天的预后情况。结果给予早期标准化气道管理组误吸发生率、住院期间肺部感染发生率及发病48小时内死亡率低于对照组(P<0.05),病后30天预后情况优于对照组(P<0.05)。结论对脑出血病人给予早期标准化气道管理可缓解患者住院前误吸发生、住院期间肺部感染发生及发病48小时内死亡发生的危险性,改善患者预后。

Objective To discuss the impact of early standardized airway management on the prognosis of patients with intracerebral hemorrhage in the process of pre-hospital care and first-aid in emergency department. Method Patients with intraeerebral hemorrhage received early airway management were taken as the experimental group while these who received no early airway management were taken as the control group, then outcomes included the aspiration incidence, pulmonary infection rate, the mortality rate within 48 hours and the prognosis after 30 days were compared. Result In experimental group, the incidence of aspiration and pulmonary infection, the mortality rate within 48 hours was lower significantly compared with the control group （P〈O.05）, and the prognosis after 30 clays was also better（ P〈0.05 ）. Conclusion To provide early standardized airway management can decrease the incidence of aspiration, pnlmonary infection rate as well as the mortality rate within 48 hours of patients with intracerebral hemorrhage and get better prognosis.