岭南急诊医学杂志
嶺南急診醫學雜誌
령남급진의학잡지
Lingnan Journal of Emergency Medicine
2015年
5期
381-383
,共3页
卒中相关性肺炎%气管插管%临床观察
卒中相關性肺炎%氣管插管%臨床觀察
졸중상관성폐염%기관삽관%림상관찰
stroke associated pneumonia%tracheal intubation%clinical observation
目的：观察早期气管插管对预防卒中相关性肺炎的价值。方法：将179例脑卒中患者分为早期插管组（76例）和常规插管组（103例），比较两组并发肺炎、呼吸和生理监测指标、治疗效果及神经功能评分等方面的变化情况。结果：早期插管组并发肺炎明显少于常规插管组，插管前后呼吸和生理监测指标较常规插管组明显改善，治疗效果及神经功能评分明显好于常规插管组。结论：早期气管插管可显著减少卒中相关性肺炎的发生，改善通气不足导致的低氧血症，有利于改善中枢神经功能及预后。
目的：觀察早期氣管插管對預防卒中相關性肺炎的價值。方法：將179例腦卒中患者分為早期插管組（76例）和常規插管組（103例），比較兩組併髮肺炎、呼吸和生理鑑測指標、治療效果及神經功能評分等方麵的變化情況。結果：早期插管組併髮肺炎明顯少于常規插管組，插管前後呼吸和生理鑑測指標較常規插管組明顯改善，治療效果及神經功能評分明顯好于常規插管組。結論：早期氣管插管可顯著減少卒中相關性肺炎的髮生，改善通氣不足導緻的低氧血癥，有利于改善中樞神經功能及預後。
목적：관찰조기기관삽관대예방졸중상관성폐염적개치。방법：장179례뇌졸중환자분위조기삽관조（76례）화상규삽관조（103례），비교량조병발폐염、호흡화생리감측지표、치료효과급신경공능평분등방면적변화정황。결과：조기삽관조병발폐염명현소우상규삽관조，삽관전후호흡화생리감측지표교상규삽관조명현개선，치료효과급신경공능평분명현호우상규삽관조。결론：조기기관삽관가현저감소졸중상관성폐염적발생，개선통기불족도치적저양혈증，유리우개선중추신경공능급예후。
Objective: To investigate the value of early tracheal intubation for the prevention of stroke associated pneumonia (SAP). Methods:179 stoke patients were randomly assigned in early tracheal intubation group (n=76) or conventional endotracheal intubation group (n=103). SAP, respiratory and physiological monitoring index, the therapy effect and neurological function score were compared between two groups. Results: The rate of SAP was lower in the early tracheal intubation group than the other group. Respiratory and physiological monitoring index were more improved, the effect of therapy and neurological function were better in the early tracheal intubation group. Conclusion: Early tracheal intubation can significantly reduce the incidence of SAP, and improve hypoxia induced by ventilation deficiency, also improve the prognosis of central nervous system.
