重症脑卒中患者早期开放人工气道的临床价值

Clinical value of earlier opening artificial airway in severe stroke patients

目的观察重症脑卒中患者早期开放人工气道的临床效果及价值。方法选取我院收治的重症脑卒中患者74例,随机分为观察组与对照组,观察组入院后即刻开放人工气道,对照组待出现明显呼吸功能障碍后再行开放气道,对比2组临床效果。结果治疗后2组肺部感染率差异无统计学意义(P>0.05);观察组误吸率、住院时间与费用明显少于对照组,肺部感染时间则明显延长,入院后3d动脉气血分析优于对照组,心率、呼吸频率低于对照组,差异均有统计学意义(P<0.05)。结论重症脑卒中患者行早期开放人工气道,能够延缓肺部感染,减少误吸,改善呼吸效率,缩短住院时间,减少费用。

Objective To observe the clinical value of earlier opening artificial airway in severe stroke.Methods We recruited 74 patients with severe stroke in our hospital and randomly divided them into observation group and control group,patients in observation group were immediately given opening artificial airway after admission,which was given in control group until previous pulmonary dysfunction occurred.Then we comparatively analyzed the clinical effect of both two groups.Results After treatment,in terms of pulmonary infection rate,no significant difference was found in two groups（P〉0.05）.Additionally,compared with control group,the observation had significant lower aspiration rate,hospitalization stays,medical cost and had longer time of lung injection（P〈0.05）;Moreover,on the third day after admission,the observation group owned arterial-blood analysis prior to control group and had lower heart rate and respiratory rate with statistical difference（P〈0.05）.Conclusion Earlier opening artificial airway in severe stroke can delay the lung infection,reduce aspiration,improve the efficiency of breathing,shorten hospitalization time and reduce the cost.