摘要
目的观察性重症脑卒中患者采取早期气管插管的治疗效果。方法根据是否早期行气管插管,将104例实施气管插管的急性重症脑卒中患者分为2组,A组(59例)接受早期气管插管,B组(45例)进行常规气管插管。对2组患者的气管插管前后生命体征、动脉血气分析及血乳酸变化、早期并发症的发生情况等进行记录和比较。结果 A组气管插管前后呼吸、心率、PaO_2、PaCO_2、血乳酸值比较无统计学意义(P>0.05);B组气管插管前后呼吸、心率、PaO_2、PaCO_2不稳定,插管后呼吸、心率、PaCO_2低于插管前,PaO_2高于插管前,差异均有统计学意义(P<0.05),而血乳酸值插管前后比较无统计学意义(P>0.05)。A组患者肺部感染、呼吸衰竭、上消化道出血、水电解质紊乱发生率均低于B组,差异均有统计学意义(P<0.05)。结论早期气管插管能够改善患者全身情况,降低低氧血症发生率,减少脑卒中后早期并发症的发生,对急性重症脑卒中患者预后较为有利,能够在临床实践中得到推广和普及。
Objective To explore and analyze the treatment of patients with acute severe stroke by early tracheal intubation.Methods According to whether the trachea was intubated early,104 patients with acute severe stroke who treated with endotracheal intubation were divided into two groups.Group A（59 cases） received early tracheal intubation,and group B（45cases） received regular tracheal intubation.The vital signs,arterial blood gas analysis,blood lactic acid change and early complications,before and after the two groups of patients with tracheal intubation were recorded and compared.Results The difference in respiratory rate,heart rate,PaO2,PaCO2,blood lactic acid value between before and after tracheal intubation in group A were not statistically significant（P〈0.05）;the respiratory rate,heart rate,PaO2 and PaCO2 were unstable before and after tracheal intubation in group B,after intubation,the respiratory rate,heart rate and PaCO2 were lower than those before intubation,and PaO2 was higher than that before intubation,the differences were statistically significant（P〈0.05）,and the difference in blood lactate value between before and after intubation was not statistically significant（P〉0.05）.The incidence of lung infection,respiratory failure,upper gastrointestinal hemorrhage,water electrolyte disturbance in group A were lower than that in group B,the differences were statistically significant（P〈0.05）.Conclusion Early tracheal intubation can improve the general condition of patients,and reduce the incidence of hypoxemia,as well as reduce early complications after stroke,which is favorable to the prognosis of patients with severe acute stroke,and can get promotion and popularization in clinical practice.
出处
《临床合理用药杂志》
2017年第22期19-21,共3页
Chinese Journal of Clinical Rational Drug Use
关键词
急性重症脑卒中
早期气管插管
生命体征
动脉血气分析
Acute severe stroke
Early tracheal intubation
Vital signs
Arterial blood gas analysis
