现代医药卫生Issue(3)：332-334,3.DOI:10.3969/j.issn.1009-5519.2016.03.004
早期开放人工气道对重症脑卒中患者临床疗效及预后的影响
Influence of early opening artificial airway on clinical effect and prognosis in patients with severe stroke
摘要
Abstract
Objective To investigate the influyence of early opening artificial airway on the curative effect , neural func-tional recovery and living quality. Methods A total of 76 cases of severe stroke in the intensive care medicine department of our hospital from June 2014 to June 2015 were selected as the research subjects and divided into the observation group and control group based on the time of opening artificial airway ,38 cases in each group. The levels of blood gas analysis , neurological impair ment scores(NDS) and quality of life(MBI) scores before treatment and after treatment were compared between the two groups. Results PaO2 after treatment in the two groups was increased,while PaCO2 and heart rate after treatment were both decreased to different degrees,but the observation was more obvious than the control group,the difference was statistically significant(P<0.05). The NDS scores after treatment in the two groups were decreased to different degrees ,while the MBI and FCA scores after treat-ment were increased to different degrees compared with before treatment ,but the observation was more obvious than the control group,the difference was statistically different(P<0.05). The scores of role function,psychological function,physical function and social function after treatment in the two groups were all increased ,while the observer group was more obvious than the control group with statistical difference(P<0.05). Conclusion The early opening artificial airway in the patients with severe stroke can ef-fectively improve hypoxemia,reduces the degree of brain damage,is conducive to the recovery of neurological function,and can effectively improve the quality of life of patients.关键词
呼吸,人工/气管/危重病/卒中/血气分析/生活质量/神经系统Key words
Respiration,artificial/Trachea/Critical illness/Stroke/Blood gas analysis/Quality of life/Ner-vous system引用本文复制引用
何代忠,丁飞..早期开放人工气道对重症脑卒中患者临床疗效及预后的影响[J].现代医药卫生,2016,(3):332-334,3.基金项目
重庆市卫生和计划生育委员会2015年医学科研计划项目（2015ZBXM012）。 （）
