机械通气治疗重型颅脑损伤的效果观察

Effect of mechanical ventilation treatment on severe head injury

目的探讨在重型颅脑损伤的临床治疗中机械通气的应用效果。方法选取2012年2月至2015年2月在大理州人民医院治疗的重型颅脑损伤患者86例作为研究对象,按照随机分组原则将重型颅脑损伤患者分为对照组和观察组,每组43例。对照组患者在入院后常规治疗的同时给予常规吸氧,观察组患者则在入院后常规治疗的同时给予机械通气治疗,对比两组患者的临床血气指标改善情况。结果两组患者在进行治疗前血气指标比较差异未见统计学意义,治疗后两组患者的血气指标均有显著改善,且观察组患者的血气指标改善情况明显优于对照组,差异有统计学意义(P<0.05)。结论在重型颅脑损伤的临床治疗中结合机械通气能够改善患者的血气指标情况,有利于患者的治疗转归和预后,值得在临床上推广应用。

Objective To investigate the clinical effect of mechanical ventilation on severe head injury. Methods From February 2012 to February 2012,86 cases of severe craniocerebral injury in Dali People’s Hospital were selected as the research objects,in accordance with the principle of random,the patients with severe head injury were divided into control group and observation group with 43 cases in each group. The patients in the control group were given conventional treatment and conventional oxygen at the same time,while the patients in the observation group were given conventional treatment and mechanical ventilation treatment at the same time. The clinical blood gas indexes were observed. Results There were no significant differences in the blood gas indexes before treatment between the two groups. The blood gas indexes were improved significantly in both groups after treatment,the blood gas indexes were better than those of the control group,the differences were significant（ P 〈 0. 05）. Conclusion In clinical treatment of severe craniocerebral injury,mechanical ventilation can improve the patient’s blood gas indexes,and is conducive to the treatment outcome and prognosis of patients,so it is worthy of popularization and application in clinics.