重症颅脑损伤院前急救早期气管插管的应用分析

Application Analysis of Early Tracheal Intubation in Pre-hospital Emergency Treatment of Severe Craniocerebral Injury

目的:分析重症颅脑损伤院前急救早期气管插管的应用效果。方法:研究阶段为2012年7月1日-2018年7月1日,共纳入研究对象90例,均为重症颅脑损伤患者,根据插管时机分为对照组和观察组,对照组采用常规插管,观察组采取早期插管,比较两组上机率、上机时间和监护时间、重症肺炎发生率。结果:对照组上机率、重症肺炎发生率明显高于观察组,差异有统计学意义(P<0.05)。对照组上机时间、监护时间均长于观察组,差异有统计学意义(P<0.05)。对照组良好例数低于观察组,对照组重残、死亡例数明显高于观察组,差异有统计学意义(P<0.05),两组中残例数、植物人例数差异无统计学意义(P>0.05)。结论:对于重症颅脑损伤患者院前急救采取早期气管插管有效减少上机时间、监护时间、重症肺炎发生率,有效改善预后,值得临床应用与推广。

Objective:To analyze the the application effect of early tracheal intubation in pre-hospital emergency treatment of severe craniocerebral injury.Method:The research period was from July 1,2012 to July 1,2018.A total of 90 patients with severe head injury were included in the study.According to the timing of intubation,they were divided into the control group and the observation group.The control group was routinely intubated,and the observation group was treated with early intubation.The on-board rate,on-board time and monitoring time,and incidence of severe pneumonia were compared between the two groups.Result:The on-board rate and the incidence of severe pneumonia in the control group were significantly higher than those in the observation group,and the difference was statistically significant(P<0.05).The on-board time and monitoring time of the control group were longer than the observation group,and the difference was statistically significant(P<0.05).The number of good cases in the control group was lower than that in the observation group,the number of severe cases and deaths in the control group was significantly higher than that in the observation group,the difference was statistically significant(P<0.05).There was no significant difference in the number of moderate disability cases and the number of vegetative cases between the two groups(P>0.05).Conclusion:Early tracheal intubation for pre-hospital emergency in patients with severe craniocerebral injury can effectively reduce the time of onset,monitoring time,and incidence of severe pneumonia,and effectively improve the prognosis.It is worthy of clinical application and promotion.