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目的:探讨早期气管切开在重度颅脑损伤患者中的应用价值。方法:选取2013年06月~2014年09月我院收治的重度颅脑损伤患者50例,按随机数字表法将其分成实验组25例,对照组25例,实验组气管切开时间≤8h,对照组气管切开时间>8h,比较两组患者预后。结果:实验组重度颅脑损伤患者预后优于对照组,实验组肺炎发生率为36.0%,抗生素应用时间为(8.63±2.63)d,住院时间为(12.22±4.65)d,与对照组相比,差异有统计学意义(P<0.05)。结论:早期气管切开在重度颅脑损伤患者中具有较高的应用价值,值得临床借鉴应用。
Objective: To investigate the value of early tracheotomy in patients with severe craniocerebral injury. Methods: Fifty patients with severe craniocerebral injury admitted in our hospital from June 2013 to September 2014 were divided into experimental group (n = 25) and control group (n = 25) according to random number table method. The tracheotomy time , Control group tracheotomy time> 8h, the prognosis of two groups were compared. Results: The prognosis of severe craniocerebral injury in experimental group was better than that in control group. The incidence of pneumonia in experimental group was 36.0%, antibiotic application time was (8.63 ± 2.63) d, and hospitalization time was (12.22 ± 4.65) days, compared with control group , The difference was statistically significant (P <0.05). Conclusion: Early tracheotomy has a high value in patients with severe craniocerebral injury, and is worthy of clinical reference.