中国康复
中國康複
중국강복
CHINESE JOURNAL OF REHABILITATION
2014年
5期
359-361
,共3页
脑损伤%气管切开术%直接拔管
腦損傷%氣管切開術%直接拔管
뇌손상%기관절개술%직접발관
brain-damage%tracheostomy%one-stage decannulation
目的：探讨脑损伤患者气管切开术后直接拔除气管套管的可行性。方法：收集我院自2011年6月～2013年12月脑损伤气管切开术后直接拔除气管套管患者26例作为观察组，同等条件下先行堵管后拔除套管者26例作为对照组，比较2组的拔管成功率及并发症发生率；另将观察组与对照组组内各按昏迷与非昏迷分为两组，比较各组的拔管结果。结果：观察组拔管成功率96．16％，拔管后并发症发生率15．38％，对照组拔管成功率96．16％，拔管后并发症发生率30．77％；2组拔管成功率及并发症发生率比较均差异无统计学意义。2组昏迷与非昏迷患者，拔管成功率及并发症发生率较均差异无统计学意义。结论：直接拔除气管套管成功率高，时间短，具有可行性，脑损伤严重程度并不影响拔管结果，因此当拔管时机成熟后可采用直接拔管法，使患者早日进入康复阶段。
目的：探討腦損傷患者氣管切開術後直接拔除氣管套管的可行性。方法：收集我院自2011年6月～2013年12月腦損傷氣管切開術後直接拔除氣管套管患者26例作為觀察組，同等條件下先行堵管後拔除套管者26例作為對照組，比較2組的拔管成功率及併髮癥髮生率；另將觀察組與對照組組內各按昏迷與非昏迷分為兩組，比較各組的拔管結果。結果：觀察組拔管成功率96．16％，拔管後併髮癥髮生率15．38％，對照組拔管成功率96．16％，拔管後併髮癥髮生率30．77％；2組拔管成功率及併髮癥髮生率比較均差異無統計學意義。2組昏迷與非昏迷患者，拔管成功率及併髮癥髮生率較均差異無統計學意義。結論：直接拔除氣管套管成功率高，時間短，具有可行性，腦損傷嚴重程度併不影響拔管結果，因此噹拔管時機成熟後可採用直接拔管法，使患者早日進入康複階段。
목적：탐토뇌손상환자기관절개술후직접발제기관투관적가행성。방법：수집아원자2011년6월～2013년12월뇌손상기관절개술후직접발제기관투관환자26례작위관찰조，동등조건하선행도관후발제투관자26례작위대조조，비교2조적발관성공솔급병발증발생솔；령장관찰조여대조조조내각안혼미여비혼미분위량조，비교각조적발관결과。결과：관찰조발관성공솔96．16％，발관후병발증발생솔15．38％，대조조발관성공솔96．16％，발관후병발증발생솔30．77％；2조발관성공솔급병발증발생솔비교균차이무통계학의의。2조혼미여비혼미환자，발관성공솔급병발증발생솔교균차이무통계학의의。결론：직접발제기관투관성공솔고，시간단，구유가행성，뇌손상엄중정도병불영향발관결과，인차당발관시궤성숙후가채용직접발관법，사환자조일진입강복계단。
Objective:To explore the feasibility of one-stage decannulation in brain-damage patients with tracheoto-my .Methods:Twenty-six cases in observation group were chosen from the brain-damage patients subject to tracheot-omy with one-stage decannulation in our hospital from June 2011 to December 2013 ,and under the same conditions 26 cases in control group were subjected to plugging before removing the tube .Meanwhile the observation group and control group were divided into two subgroups:coma and non-coma .The success rate of decannulation and the com-plication rate were observed .Results:There was no significant difference in the success rate of decannulation between the observation group (96 .16% ) and the control group (96 .16% ) .The complication rate in the observation group and control group was 15 .38% and 30 .77% respectively with the difference being not significant between the two groups .There was no significant difference in the success rate of decannulation and the complication rate between co-ma and non-coma subgroups .Conclution:There was a high success rate and short time in one-stage decannulation . The severity of brain injury does not affect decannulation outcomes .When the adaptive condition of tube decanulation appeared ,we can adopt one-stage decannulation so that patients can enter the stage of rehabilitation earlier .
