临床误诊误治2023，Vol.36Issue(7)：97-100,4.DOI:10.3969/j.issn.1002-3429.2023.07.021
GCS评分、咳嗽效力评级与颅脑疾病气管切开术后拔管成功的关系
Relationship between GCS Score,Cough Efficacy Rating and Success of Extubation after Tracheotomy in Craniocerebral Diseases
摘要
Abstract
Objective To explore the relationship between Glasgow Coma Scale(GCS),cough efficacy rating and ex-tubation success after tracheotomy for craniocerebral diseases.Methods A total of 96 patients with craniocerebral diseases trea-ted from August 2019 to August 2022 were selected,all of whom underwent tracheotomy intubation,and were divided into obser-vation group(successful extubation,n =58)and control group(unsuccessful extubation,n =38),according to successful or unsuccessful extubation.The swallowing function,GCS score and cough efficacy rating of the two groups were compared.Multi-variate Logistic regression analysis was used to explore the risk factors affecting the success of extubation after tracheotomy for craniocerebral diseases.Results The proportion of patients with swallowing reflex and GCS score 13-14 in observation group was higher than that in control group,while the proportion of patients without swallowing reflex,GCS score3-8 and＜3 was low-er than that in control group(P＜0.05).The proportion of patients with cough efficacy rating of 0 in observation group was low-er than that in control group,and the proportion of patients with cough efficacy rating of 5 was higher than that in control group(P＜0.05).Swallowing reflex,GCS score and cough efficacy rating were independent risk factors for successful extubation after tracheotomy(P＜0.01).Conclusion GCS score and cough efficacy rating are independent risk factors affecting the success of extubation after tracheotomy for craniocerebral diseases.Clinical attention should be paid to these evaluation indicators and inter-vention should be made to improve the success rate of extubation after tracheotomy for craniocerebral diseases.关键词
颅脑疾病/气管切开术/气管插管拔除/格拉斯哥昏迷量表/咳嗽/吞咽/回归分析/危险因素Key words
Craniocerebral diseases/Tracheotomy/Airway extubation/Glasgow coma scale/Cough/Swallowing/Regression analysis/Risk factors分类
医药卫生引用本文复制引用
丁克元,李贤英,王捷,李德岩,王宇..GCS评分、咳嗽效力评级与颅脑疾病气管切开术后拔管成功的关系[J].临床误诊误治,2023,36(7):97-100,4.基金项目
芜湖市科技计划项目(2012-hm40) （2012-hm40）
