早期气管插管联合机械通气用于急性重型颅脑外伤抢救中的效果观察

目的探讨早期气管插管联合机械通气对急性重型颅脑损伤的治疗意义。方法将83例行气管插管的急性重型颅脑损伤患者(GCS8分)依据呼吸指标的变化分为早期气管插管组(治疗组)和常规气管插管组(对照组),比较2组插管治疗前后呼吸指标变化、72 h肺炎发生率和预后情况。结果 2组患者呼吸指标均有改善,治疗组患者预后良好率明显高于对照组,而72 h肺炎发生率低于对照组。结论早期气管插管和机械通气可以显著降低急性重型颅脑外伤患者吸入性肺炎的发生率,有效保障气道安全,改善患者的预后。

Effect observation of early tracheal intubation and mechanical ventilation for rescue of acute severe craniocerebral injury

Objective It is to explore the curative effect of early tracheal intubation and mechanical ventilation on acute severe craniocerebral injury.Methods 83 patients with acute severe craniocerebral injury(GCS<8)receiving tracheal intubation were divided into early tracheal intubation group(the therapy group) and routine tracheal intubation group(the control group).Changes of respiratory indexes before and after tracheal intubation,incidence of aspiration pneumonia within 72 hours after the injury and prognosis between the two groups were compared.Results Respiratory indexes were improved in the two groups,the rate of good prognosis in the therapy group was obviously higher than that in the control group,and the incidence of aspiration pneumonia within 72 hours after the injury was lower in the therapy group.Conclusion Early tracheal intubation and mechanical ventilation can significantly reduce the incidence of aspiration pneumonia for the rescue of acute severe craniocerebral injury,and it can effectively keep air-way unobstructed and improve prognosis rate obviously.