CAJ | 학술논문

目的探讨对重型颅脑损伤患者使用早期呼吸机辅助呼吸治疗的效果,研究早期呼吸机辅助呼吸治疗在重型颅脑损伤患者脑保护作用及方法.方法选自我科自2009年8月至2012年3月共收治的75例重型颅脑患者,入选为 GCS3~8分无其它严重并发症无早期呼吸机辅助呼吸治疗禁忌者.随机分为早期呼吸机辅助呼吸组与对照组,早期呼吸机辅助呼吸组患者入院后行常规治疗及早期呼吸机辅助呼吸治疗,对照组行常规治疗.对两组患者的治疗效果进行GOS 评分.结果早期呼吸机辅助呼吸组38例患者,恢复良好 5例,中残16例,重残及植物生存11例,死亡 6例.对照组37例患者,恢复良好3例,中残9例,重残及植物生存15例,死亡11例.结论通过早期呼吸机辅助呼吸治疗具有较好的脑保护作用,可改善重型颅脑损伤患者的预后.
목적탐토대중형로뇌손상환자사용조기호흡궤보조호흡치료적효과,연구조기호흡궤보조호흡치료재중형로뇌손상환자뇌보호작용급방법.방법선자아과자2009년8월지2012년3월공수치적75례중형로뇌환자,입선위 GCS3~8분무기타엄중병발증무조기호흡궤보조호흡치료금기자.수궤분위조기호흡궤보조호흡조여대조조,조기호흡궤보조호흡조환자입원후행상규치료급조기호흡궤보조호흡치료,대조조행상규치료.대량조환자적치료효과진행GOS 평분.결과조기호흡궤보조호흡조38례환자,회복량호 5례,중잔16례,중잔급식물생존11례,사망 6례.대조조37례환자,회복량호3례,중잔9례,중잔급식물생존15례,사망11례.결론통과조기호흡궤보조호흡치료구유교호적뇌보호작용,가개선중형로뇌손상환자적예후.
Objective: To explore the prognosis of early respirator treatment in cases of severe traumatic brain injuries (sTBI),improve the knowledge of early respirator treatment on brain injuries. Methods: Cases were divided into 2 groups: early respirator treatment group and control group. Early respirator was applied to the cases of sTBI in early respirator group. The prognosis was divided into five grades such as good recovery (GR),moderate disability (MD),severe disability (SD),persisted vegetative state (PVS) and death (D). Results: In early respirator group,there were 5 GR cases,16 MD,11 SD and 6 D cases,while in control group,there were 3 GR cases,9 MD,15 SD and 11 D cases. Conclusion: Early respirator treatment can improve the prognosis of sTBI.