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目的探讨重症脑外伤采用气管切开术治疗临床效果。方法 60例重症脑外伤患者,随机分为对照组和观察组,各30例。对照组采用直接插管式治疗,观察组采用气管切开术治疗,对比两组患者预后。结果观察组患者呼吸机应用时间、带管时间、平均住院时间均少于对照组,差异均具有统计学意义(P<0.05)。观察组术后肺炎率为13.3%低于对照组的36.7%,差异有统计学意义(P<0.05)。结论采用气管切开术治疗重症脑外伤,可加快机体康复进程,减轻患者不适,对保障临床安全,改善预后意义显著,值得临床推广。
Objective To investigate the clinical effect of tracheotomy on severe traumatic brain injury. Methods Sixty patients with severe traumatic brain injury were randomly divided into control group and observation group, with 30 cases in each group. Control group with direct intubation treatment, observation group tracheotomy, compared the prognosis of two groups of patients. Results In the observation group, ventilator application time, catheterization time and average length of hospital stay were all less than those in the control group. The differences were statistically significant (P <0.05). The postoperative pneumonia rate in the observation group was 13.3% lower than that in the control group (36.7%), the difference was statistically significant (P <0.05). Conclusion Tracheotomy for the treatment of severe traumatic brain injury can speed up the recovery process of the body and relieve the discomfort of patients. It is significant for ensuring clinical safety and improving prognosis, which is worthy of clinical promotion.