尽早气管切开对重症脑卒中患者的疗效评估

Effects of Early Percutaneous Tracheotomy on Severe Stroke

目的 分析重症脑卒中患者尽早行气管切开治疗的效果。方法 选取重症脑卒中患者87例,随机分为早期组(45例)及晚期组(42例)。早期组入院气管插管5天内行经皮气管切开术。晚期组入院气管插管5天后行经皮气管切开术。分别记录早期组、晚期组患者并发症的发生率、机械通气时间、重症监护时间。结果 早期组肺部感染发生率明显降低,两组差异有统计学意义(P <0. 05);早期组机械通气时间、重症监护时间明显少于晚期切开组,两组间差异有统计学意义(P <0. 05)。结论 给予重症脑卒中患者早期气管切开治疗效果较为确切。

Objective To analyze the effects of early percutaneous tracheotomy on severe stroke. Methods 87 patients with severe stroke were randomly divided into early stage group(n = 45) and late stage group(n = 42). In the early group,percutaneous tracheotomy was performed in 5 days after tracheal intubation. In the late group,percutaneous tracheotomy was performed 5 days later. The incidence of complications,mechanical ventilation time and intensive care time were recorded in the early group and the late group. Results The incidence of pulmonary infection in the early group was significantly lower than that in the late group(P < 0. 05),and the time of mechanical ventilation and intensive care in the early group were significantly lower than those in the late group(P < 0. 05),there was significant difference between the two groups(P < 0. 05). Conclusions The effect of early tracheotomy in patients with severe stroke is more accurate.