气管切开术在治疗重症颅脑损伤患者中的临床应用效果

Clinical application of tracheotomy in treatment of severe craniocerebral injury

目的:研究气管切开术在治疗重症颅脑损伤患者中的临床应用效果。方法:选择江苏省宜兴市中医医院自2015年3月至2018年3月收治的68例重症颅脑损伤患者作为此次研究分析对象,随机分为常规组(n=34)与观察组(n=34),对比两组患者经不同手术方式治疗后的临床效果。结果:两组患者治疗后,其住院时间差异不大,无统计学意义(P>0.05);而观察组患者的通气时间则明显短于常规组,且肺部感染的发生率较常规组更低,两组对比差异有统计学意义(P<0.05)。结论:对重症颅脑损伤患者行气管切开术治疗,能进一步减少患者通气时间,降低肺部感染的发生,临床治疗效果理想,值得在临床中应用。

Objective: To study the clinical effect of tracheotomy in the treatment of severe craniocerebral injury. Methods: 68 patients with severe craniocerebral injury admitted to Yixing Traditional Chinese Medicine Hospital from March 2015 to March 2018 were selected as the subjects of this study. They were randomly divided into control group (n = 34) and observation group (n = 34). The clinical effects were compared between the two groups after different surgical treatment. Results: After treatment,there was no significant difference in hospitalization time between the two groups (P>0.05). The ventilation time of the observation group was significantly shorter than that of the control group,and the incidence of pulmonary infection was lower than that of the control group. The difference between the two groups was statistically significant (P<0.05). Conclusion: Tracheotomy can further reduce the ventilation time and the incidence of pulmonary infection in patients with severe craniocerebral injury. The clinical effect is ideal and it is worthy of clinical application.