序贯式精准化非人工气道管理在老年颅后窝神经病变术后病人中的应用

目的探讨序贯式精准化非人工气道管理在老年颅后窝神经病变开颅术后病人中的应用效果。方法选取2018年1~12月开颅术后意识障碍进行常规气道管理的病人70例作为对照组,同时选取2019年1~12月开颅术后意识障碍采用序贯式精准化气道管理的病人67例作为研究组,比较2组病人吸痰并发症发生率、肺部感染发生率、气管插管率和平均住院天数。结果研究组病人吸痰并发症发生率、肺部感染发生率和平均住院天数明显低于对照组,差异具有统计学意义(P<0.05);2组间的气管插管率差异无统计学意义(P>0.05)。结论序贯式精准化非人工气道管理有助于减少神经外科意识障碍病人的吸痰并发症,降低肺部感染发生率和住院天数,是一种安全有效的气道管理方法。

Application of sequential precision non-artificial airway management in elderly patients after posterior cranial fossa surgery

Objective To explore the effect of sequential accurate non-artificial airway management in the elderly patients with posterior fossa neuropathy after craniotomy.Methods A total of 70 patients with consciousness disturbance undergoing routine airway management after craniotomy from January to December 2018 were selected as the control group.At the same time,67 patients received sequential,precise airway management from January to December 2019 were chosen as the study group.The incidence of sputum aspiration complications,endotracheal intubation rate and average length of hospital stay were evaluated and compared between the two groups.Results The incidence rate of sputum aspiration complications,pulmonary infection in the study group was significantly lower than that of the control group(P<0.05),as well as the average length of hospital stay.There was no significant difference in the rate of endotracheal intubation between the two groups(P>0.05).Conclusions Sequential precision non-artificial airway management can reduce the incidence of sputum aspiration complications,pulmonary infection and the length of hospital stay in patients with neurosurgical consciousness disorder,and is a safe and effective airway management method.