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目的探讨在重型颅脑损伤的临床治疗中机械通气的应用效果。方法选取2012年2月至2015年2月在大理州人民医院治疗的重型颅脑损伤患者86例作为研究对象,按照随机分组原则将重型颅脑损伤患者分为对照组和观察组,每组43例。对照组患者在入院后常规治疗的同时给予常规吸氧,观察组患者则在入院后常规治疗的同时给予机械通气治疗,对比两组患者的临床血气指标改善情况。结果两组患者在进行治疗前血气指标比较差异未见统计学意义,治疗后两组患者的血气指标均有显著改善,且观察组患者的血气指标改善情况明显优于对照组,差异有统计学意义(P<0.05)。结论在重型颅脑损伤的临床治疗中结合机械通气能够改善患者的血气指标情况,有利于患者的治疗转归和预后,值得在临床上推广应用。
Objective To investigate the effect of mechanical ventilation in the clinical treatment of severe craniocerebral injury. Methods Twenty-six patients with severe craniocerebral injury who were treated in Dali People’s Hospital from February 2012 to February 2015 were selected as the research objects. According to the principle of randomization, patients with severe craniocerebral injury were divided into control group and observation group example. Patients in the control group were given routine oxygenation while they were treated routinely. Patients in the observation group were given routine mechanical ventilation after admission, and the improvement of clinical blood gas index was compared between the two groups. Results There was no significant difference in blood gas index between the two groups before treatment. After treatment, the blood gas indexes of both groups were significantly improved, and the improvement of blood gas indexes in the observation group was obviously better than that of the control group Significance (P <0.05). Conclusion The clinical treatment of severe craniocerebral injury combined with mechanical ventilation can improve the patient’s blood gas index is conducive to the treatment of patients with prognosis, it is worth popularizing the clinical application.