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目的:探讨重度颅脑损伤行气管切开的治疗方法在控制肺部感染上的有效性。方法:选取2013年2月到2015年2月我院收治的74例重度颅脑损伤患者,随机分为对照组和观察组,每组各37例,对观察组患者行气管切开治疗,对照组采取常规治疗,观察两组患者术后肺部感染情况和肺部感染控制情况,分析气管切开治疗重度颅脑损伤患者肺部感染控制的有效性。结果:74例患者中有32例出现肺部感染,肺部总感染率为43.2%,其中观察组患者有9例,对照组患者23例,观察组患者的肺部感染情况明显低于对照组(P<0.05);观察组9例肺部感染患者中7例得到控制,有效控制率为77.7%,感染控制时间为5~11h,平均控制时间为(6.9±2.1)h;对照组23例肺部感染患者中13例得到控制,有效控制率为56.5%,感染控制时间为11~21h,平均控制时间为(15.6±3.5)h,在肺部感染的控制情况上观察组明显优于对照组,两组数据比较有统计学意义(P<0.05)。结论:对重度颅脑损伤患者行气管切开术治疗能有效控制其肺部感染情况,值得在临床中大力推广。
Objective: To investigate the effectiveness of tracheotomy in severe traumatic brain injury in controlling lung infection. Methods: Totally 74 patients with severe craniocerebral injury admitted from February 2013 to February 2015 in our hospital were randomly divided into control group and observation group, with 37 patients in each group. Tracheotomy was performed on the observation group and control group The patients in the two groups were given routine treatment. The postoperative pulmonary infection and pulmonary infection control in both groups were observed, and the effectiveness of tracheotomy in the control of pulmonary infection in patients with severe craniocerebral injury was analyzed. RESULTS: Thirty-two of the 74 patients had pulmonary infection and the total lung infection rate was 43.2%. Among them, 9 patients in the observation group and 23 patients in the control group showed significantly lower pulmonary infection in the observation group than in the control group (P <0.05). Among the 9 patients with pulmonary infection in the observation group, 7 patients were controlled, the effective rate was 77.7%, the infection control time was 5 ~ 11h, the average control time was (6.9 ± 2.1) h; Thirteen patients with pulmonary infection were controlled, the effective control rate was 56.5%, infection control time was 11 ~ 21h, the average control time (15.6 ± 3.5) h, the control group in the lung infection was significantly better than the control group Group, the two groups of data was statistically significant (P <0.05). Conclusion: Tracheotomy in patients with severe traumatic brain injury can effectively control the pulmonary infection, which is worth to be popularized clinically.