探讨早期气管切开术对防治重型颅脑损伤术后并发肺部感染的作用

A Study on the Effect of Early-phase Tracheotomy on the Prevention and Treatment of Pulmonary Infection after Operation of Severe Craniocerebral Injury

目的研究早期气管切开术对防治重型颅脑损伤损伤术后并发肺部感染的作用。方法选取经手术治疗的重型颅脑损伤患者100例,随机分为观察组和对照组,各50例。观察组和对照组分别于伤后24h内及24 h后切开气管手术并给予抗感染治疗。结果共55例患者出现肺部感染,其中观察组的15例患者中有10例感染控制,感染控制时间为(7.2±2.52)d;对照组的40例患者中有8例感染控制,感染控制时间为(18.1±3.06)d;对照组组感染控制率显然低于观察组(P<0.05),同时对照组控制感染平均时间和肺部感染率均显著高于观察组(P<0.05)。结论早期气管切开对重型颅脑损伤术后并发肺部感染具有有效防止作用。

Objective To study the effect of early-phase tracheotomy on the prevention and treatment of pulmonary infection in patients after operation of severe craniocerebral injury. Methods 100 patients with severe craniocerebral injury after operation were selected as the research object, which were randomly divided into observation group and control group, each with 50 cases. The observation group was given tracheotomy within 24h after injury, whereas the control group was treated with tracheotomy 24h after injury. Results A total of 55 patients had lung infection. The infection control time of the observation and control group were （7.2＋2.52） d and （18.1＋3.06） d respectively. The infection control rate of the control group was obviously lower than that of the observation group （P〈0.05） , and the average time of infection and the rate of pulmonary infection of control group were signiifcantly higher than those in the observation group （P〈0.05）. Conclusion Early-phase tracheotomy can effectively prevent the effect on pulmonary infection after severe brain injury operation.