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去颅骨减压术缺血性脑卒中患者气管切开率及其影响因素分析 被引量:3

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摘要 目的:分析去颅骨减压术缺血性脑卒中患者气管切开率及其影响因素。方法:选取2005-2014年间缺血性脑卒中患者312例,根据有无行去颅骨减压术分为手术组(148例)和未手术组(164例),计算各组的气管气开率,Logistic回归分析脑卒中后气管切开的影响因素。结果:共有55例患者实施气管切开,手术组49例实施气管切开,未手术组6例实施气管切开。总体的气管切开率为17.6%(55/312),手术组为33.1%(49/148),未手术组为3.66%(6/164),两组差异有显著性。Logistic回归分析结果显示,气管切开的发生与卒中相关性肺炎密切相关。结论:去颅骨减压术的缺血性脑卒中患者中气管切开率较高,卒中相关性肺炎是其主要影响因素。鉴于气管切开对脑卒中患者的影响,仍需对其进行更大规模的临床研究。
作者 韩立影 苏敏
出处 《实用医学杂志》 CAS 北大核心 2015年第23期3886-3888,共3页 The Journal of Practical Medicine
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