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目的探讨重症脑卒中患者早期实施气管切开开放人工气道的疗效及临床分析。方法回顾分析60例患者的临床资料。结果与对照组相比,观察组患者误吸率明显降低(P<0.05);入院后第1天、第3天,与对照组相比,观察组的动脉氧分压明显升高,而二氧化碳分压明显降低(P<0.05);与对照组相比,观察组肺部感染时间明显延长,住院时间明显缩短,住院费用明显减少(P<0.05)。结论对于重症脑卒中患者,早期开放人工气道,能够显著提高血氧含量,缩短住院时间,减少了住院费用,提高患者的预后质量,值得临床推广。
Objective To investigate the curative effect and clinical analysis of early tracheotomy and artificial airway in patients with severe stroke. Methods The clinical data of 60 patients were retrospectively analyzed. Results Compared with the control group, the aspiration rate in the observation group was significantly lower (P <0.05). On the 1st and 3rd days after admission, the arterial oxygen pressure increased significantly in the observation group compared with the control group, while the carbon dioxide Compared with the control group, the lung infection time in the observation group was significantly prolonged, the hospitalization time was significantly shortened, and the hospitalization cost was significantly reduced (P <0.05). Conclusion For patients with severe stroke, the early opening of the artificial airway can significantly improve blood oxygen content, shorten the hospital stay, reduce the cost of hospitalization and improve the prognosis of patients, worthy of clinical promotion.