中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
27期
34-35
,共2页
早期气管切开%治疗%颅脑外伤与脑出血患者%疗效研究
早期氣管切開%治療%顱腦外傷與腦齣血患者%療效研究
조기기관절개%치료%로뇌외상여뇌출혈환자%료효연구
Early tracheotomy%Treatment%Patients with traumatic brain injury and cerebral hemorrhage%Efficacy study
目的 探讨早期气管切开治疗颅脑外伤与脑出血患者的临床疗效. 方法 该院随机选取了2012年10月-2014年10月期间来治疗的90例颅脑外伤与脑出血患者作为研究对象, 利用计算机软件把90例患者随机分成两组, 观察组和对照组,每组分别45例患者.给予对照组常规气管切开治疗,观察组早期气管切开治疗,比较观察两组临床治疗效果. 结果 观察组治疗有效率为84%,对照组治疗有效率为 64%;观察组患者并发症机率为11%,病死率为4%,对照组并发症机率为26%,病死率为16%,观察组明显优于对照组. 两组差异有统计学意义(P<0.05). 结论 对颅脑外伤与脑出血患者实施早期气管切开治疗疗效确切,可将并发症发生机率明显减少,应推广治疗.
目的 探討早期氣管切開治療顱腦外傷與腦齣血患者的臨床療效. 方法 該院隨機選取瞭2012年10月-2014年10月期間來治療的90例顱腦外傷與腦齣血患者作為研究對象, 利用計算機軟件把90例患者隨機分成兩組, 觀察組和對照組,每組分彆45例患者.給予對照組常規氣管切開治療,觀察組早期氣管切開治療,比較觀察兩組臨床治療效果. 結果 觀察組治療有效率為84%,對照組治療有效率為 64%;觀察組患者併髮癥機率為11%,病死率為4%,對照組併髮癥機率為26%,病死率為16%,觀察組明顯優于對照組. 兩組差異有統計學意義(P<0.05). 結論 對顱腦外傷與腦齣血患者實施早期氣管切開治療療效確切,可將併髮癥髮生機率明顯減少,應推廣治療.
목적 탐토조기기관절개치료로뇌외상여뇌출혈환자적림상료효. 방법 해원수궤선취료2012년10월-2014년10월기간래치료적90례로뇌외상여뇌출혈환자작위연구대상, 이용계산궤연건파90례환자수궤분성량조, 관찰조화대조조,매조분별45례환자.급여대조조상규기관절개치료,관찰조조기기관절개치료,비교관찰량조림상치료효과. 결과 관찰조치료유효솔위84%,대조조치료유효솔위 64%;관찰조환자병발증궤솔위11%,병사솔위4%,대조조병발증궤솔위26%,병사솔위16%,관찰조명현우우대조조. 량조차이유통계학의의(P<0.05). 결론 대로뇌외상여뇌출혈환자실시조기기관절개치료료효학절,가장병발증발생궤솔명현감소,응추엄치료.
Objective To investigate the clinical efficacy of early tracheotomy in the treatment of traumatic brain injury and cere-bral hemorrhage. Methods 90 cases with traumatic brain injury and cerebral hemorrhage admitted in our hospital from October 2012 to October 2014 were selected as the subjects and randomly divided into two groups, the observation group and the control group with 45 cases in each by computer software. Patients in the control group were treated by conventional tracheotomy and those in the observation group were treated by early tracheotomy. And the clinical outcome of the two groups was observed and compared. Results Compared with the control group, the observation group had much higher response rate(84%vs 64%), obviously lower incidence of complications(11% vs 26%), significantly lower mortality(4% vs 16%) with statistically significant difference(P<0.05). Conclusion For patients with traumatic brain injury and cerebral hemorrhage, early tracheotomy has exact effect, which can greatly reduce the incidence of complications, so it is should be promoted.
