重癥顱腦損傷院前急救早期氣管插管的應(yīng)用分析

徐育智　李松年　譚云鶴

【摘要】 目的：分析重癥顱腦損傷院前急救早期氣管插管的應(yīng)用效果。方法：研究階段為2012年7月1日-2018年7月1日，共納入研究對象90例，均為重癥顱腦損傷患者，根據(jù)插管時機分為對照組和觀察組，對照組采用常規(guī)插管，觀察組采取早期插管，比較兩組上機率、上機時間和監(jiān)護時間、重癥肺炎發(fā)生率。結(jié)果：對照組上機率、重癥肺炎發(fā)生率明顯高于觀察組，差異有統(tǒng)計學(xué)意義（P<0.05）。對照組上機時間、監(jiān)護時間均長于觀察組，差異有統(tǒng)計學(xué)意義（P<0.05）。對照組良好例數(shù)低于觀察組，對照組重殘、死亡例數(shù)明顯高于觀察組，差異有統(tǒng)計學(xué)意義（P<0.05），兩組中殘例數(shù)、植物人例數(shù)差異無統(tǒng)計學(xué)意義（P>0.05）。結(jié)論：對于重癥顱腦損傷患者院前急救采取早期氣管插管有效減少上機時間、監(jiān)護時間、重癥肺炎發(fā)生率，有效改善預(yù)后，值得臨床應(yīng)用與推廣。

【關(guān)鍵詞】 重癥顱腦損傷; 院前急救; 早期; 氣管插管

doi：10.14033/j.cnki.cfmr.2019.06.005 文獻標(biāo)識碼 B 文章編號 1674-6805（2019）06-00-03

Application Analysis of Early Tracheal Intubation in Pre-hospital Emergency Treatment of Severe Craniocerebral Injury/XU Yuzhi，LI Songnia，TAN Yunhe.//Chinese and Foreign Medical Research，2019，17（6）：-12

【Abstract】 Objective：To analyze the the application effect of early tracheal intubation in pre-hospital emergency treatment of severe craniocerebral injury.Method：The research period was from July 1，2012 to July 1，2018.A total of 90 patients with severe head injury were included in the study.According to the timing of intubation，they were divided into the control group and the observation group.The control group was routinely intubated，and the observation group was treated with early intubation.The on-board rate，on-board time and monitoring time，and incidence of severe pneumonia were compared between the two groups.Result：The on-board rate and the incidence of severe pneumonia in the control group were significantly higher than those in the observation group，and the difference was statistically significant（P<0.05）.The on-board time and monitoring time of the control group were longer than the observation group，and the difference was statistically significant（P<0.05）.The number of good cases in the control group was lower than that in the observation group，the number of severe cases and deaths in the control group was significantly higher than that in the observation group，the difference was statistically significant（P<0.05）.There was no significant difference in the number of moderate disability cases and the number of vegetative cases between the two groups（P>0.05）.Conclusion：Early tracheal intubation for pre-hospital emergency in patients with severe craniocerebral injury can effectively reduce the time of onset，monitoring time，and incidence of severe pneumonia，and effectively improve the prognosis.It is worthy of clinical application and promotion.

【Key words】 Severe craniocerebral injury; Pre-hospital first aid; Early; Tracheal intubation