探究气管切开术在治疗重症脑外伤患者中的临床应用

Clinical Application of Tracheotomy in The Treatment of Severe Traumatic Brain Injury

目的探讨气管切开术在治疗重症脑外伤患者中的临床应用。方法从我院于2016年4月—2017年4月收治的重症脑外伤患者中选择86例,作为本次研究对象,采用电脑随机的方式,划分为常规组(n=43)与研究组(n=43),其中常规组采用气管插管术,研究组采用气管切开术,对两组患者临床治疗效果进行统计处理。结果研究组患者使用呼吸机的时间短于常规组,组间差异有统计学意义(P<0.05),对比两组住院时间、死亡率以及术后肺部感染发生率,差异无统计学意义(P>0.05)。结论重症脑外伤患者采用气管切开术予以治疗,可有效缩短呼吸机使用时间,帮助患者尽快自主呼吸,应用价值高。

Objective To investigate the clinical application of tracheotomy in the treatment of severe traumatic brain injury. Methods 86 patients with severe traumatic brain injury admitted in our hospital from April 2016 to April 2017 were selected as the subjects, and were randomly divided into the conventional group（n = 43） and The study group（n = 43）, in which the conventional group was treated with tracheal intubation, the study group using tracheotomy, the two groups of patients with clinical treatment of statistical treatment. Results The time of using ventilator in the study group was significantly shorter than that in the conventional group, and the results were statistically significant（P〈0.05）. The incidence of hospitalization, mortality and postoperative pulmonary infection were compared between the two groups Found no difference（P〉0.05）. Conclusion Tracheotomy is used to treat patients with severe traumatic brain injury, which can effectively shorten the time of ventilator, help patients to breathe as soon as possible, and have high application value.