研究新型经皮扩张气管切开术在重型颅脑损伤患者中的应用

To Study the Application of New Type of Percutaneous Dilatation Tracheotomy in Ppatients with Severe Head Injury

目的了解重型颅脑损伤患者用新型经皮扩张气管切开术治疗的临床效果。方法分析对象来自笔者所在医院2016年6月至2017年6月收治的重型颅脑损伤患者相关资料,在其中抽取35例,对所有患者均用经皮扩张气管切开术治疗,回顾性分析相关数据归纳重型颅脑损伤接受经皮扩张气管切开术的临床应用价值。结果所有患者均顺利完成治疗。记录其上机天数、监护治疗天数,在可接受范围内;评价患者治疗效果,病情控制总有效率为85.7%(30/35);治疗后患者神经功能评分得到明显改善,前后数据经统计学软件处理提示有意义(P<0.05);患者治疗后出现并发症例数在可接受范围内。结论为重型颅脑损伤患者在早期阶段采取经皮扩张气管切开术对于病情控制有重要价值,显著改善神经功能,安全性高,更有利于患者生命健康以及顺利回归正常工作生活,值得推广。

Objective To investigate the clinical effect of a new type of percutaneous dilatational tracheotomy in patients with severe head injury. Methods The subjects were from the patients with severe craniocerebral injury admitted to our hospital from June 2016 to June 2017, in the selection of 35 cases, all patients were treated with percutaneous dilatation tracheotomy. The clinical value of the patients with severe craniocerebral injury received percutaneous dilatation tracheotomy was analyzed retrospectively. Results All patients successfully completed treatment. Record the number of days on the machine and the number of days of care and treatment within an acceptable range. Evaluate the patient＇s treatment effect. The total effective rate of disease control is 85.7%（30/35）. The neurological function scores of patients after treatment are significantly improved. The software processing prompt was significant（P〈0.05）; the number of complications after treatment was within the acceptable range. Conclusion The use of percutaneous dilatation tracheotomy at early stage for patients with severe craniocerebral injury has important value for disease control, significant improvement in neurological function, high safety, more conducive to the life of patients and a smooth return to normal working life, worthy of promotion.