急性颈脊髓损伤患者气管切开时机的临床研究

发布时间：2019-03-05 08:15

【摘要】：目的探讨急性颈脊髓损伤需要长时间机械通气患者气管切开的最佳时机。方法回顾性分析2011年1月~2015年12月我科79例接受气管切开手术的急性颈脊髓损伤的临床资料。按气管切开距气管插管的时间将患者分为2组,甲组患者气管切开距气管插管≤10 d,乙组患者气管切开距气管插管10 d,比较2组患者机械通气时间、ICU住留时间、肺部感染发生率有无差异。结果甲组患者机械通气时间(192±58)h较乙组(348±53)h明显缩短(t=-12.490,P=0.000)。甲组患者ICU时间(9.8±2.7)d明显短于乙组(15.9±2.2)d(t=-11.058,P=0.000)。甲组患者肺部感染发生率16.2%(6/37),明显低于乙组38.1%(16/42)(χ~2=4.686,P=0.030)。2组成功撤离机械通气的例数分别为34、38例,无统计学差异(χ~2=0.000,P=1.000)。结论对于短时间内不能撤离机械通气的急性颈脊髓损伤患者,早期气管切开可减少机械通气时间,缩短ICU住留时间,降低肺部感染发生率。
[Abstract]:Objective to explore the optimal time of tracheotomy in patients with acute cervical spinal cord injury who need long-term mechanical ventilation. Methods the clinical data of 79 patients with acute cervical spinal cord injury who underwent tracheotomy from January 2011 to December 2015 were retrospectively analyzed. According to the time of tracheotomy and tracheal intubation, the patients were divided into two groups: group A (tracheotomy distance from tracheal intubation 鈮，

本文编号：2434701