重症脑外伤及重症出血性脑卒中患者采用气管切开术治疗的效果分析

Effect of tracheotomy on patients with severe brain injury and severe hemorrhagic stroke

目的:分析重症脑外伤及重症出血性脑卒中患者采用气管切开术治疗的效果。方法:选取本院2017年1月至2021年12月接收治疗的重症脑外伤及重症出血性脑卒中患者50例为观察对象,随机将患者分为对照组(n=25)与观察组(n=25)。其中对照组患者采用常规气管切开术治疗,观察组采用经皮微创气管切开术治疗,将两组患者的手术指标、手术治疗效果与术后并发症进行比较。结果:观察组患者的治疗效果明显优于对照组(P<0.05);观察组患者的手术时间、术中出血量、手术费用与住院时间均低于对照组,格拉斯哥昏迷表(GCS)评分优于对照组(P<0.05);观察组患者所并发症出现情况低于对照组(P<0.05)。结论:对于重症脑外伤及重症出血性脑卒中患者采用经皮微创气管切开术的治疗效果明显,能够有效降低患者术后并发症出现情况,提高手术效果,缩短患者住院时间,对患者的康复进程有显著提高,可以广泛推广应用。

Objective:to analyze the effect of tracheotomy in patients with severe brain injury and severe hemorrhagic stroke.Methods:50 patients with severe brain trauma and severe hemorrhagic stroke treated in our hospital from January 2017 to December 2021 were selected as the observation objects.The patients were randomly divided into control group(n=25)and observation group(n=25).The patients in the control group were treated with conventional tracheotomy,and the patients in the observation group were treated with percutaneous minimally invasive tracheotomy.The surgical indexes,surgical treatment effects and postoperative complications of the two groups were compared.Results:The therapeutic effect of the observation group was significantly better than that of the control group(P<0.05).The operation time,intraoperative bleeding,operation cost and hospital stay of the observation group were lower than those of the control group,and the score of Glasgow Coma Scale(GCS)was better than that of the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:For patients with severe brain injury and severe hemorrhagic stroke,percutaneous minimally invasive tracheotomy has obvious therapeutic effect,which can effectively reduce the occurrence of postoperative complications,improve the surgical effect,shorten the hospital stay,significantly improve the rehabilitation process of patients,and can be widely used.