国际神经病学神经外科学杂志2025，Vol.52Issue(2)：30-34,5.DOI:10.16636/j.cnki.jinn.1673-2642.2025.02.004
改良型气管切开套管组件在自发性脑出血患者中的临床应用效果
Clinical efficacy of a modified tracheostomy tube set for patients with spontaneous intracerebral hemorrhage
张艳 1魏玮 2韩丹 1王昆鹏 1张建党1
作者信息
- 1. 河南省南阳市中心医院,神经外科,河南 南阳 473000
- 2. 河南省南阳市中心医院,医保管理科,河南 南阳 473000
- 折叠
摘要
Abstract
Objective To investigate the application effectiveness of a modified tracheostomy tube set in patients with spontaneous intracerebral hemorrhage(SICH).Methods A retrospective analysis was performed for the clinical data of 84 SICH patients who underwent tracheostomy in Nanyang Central Hospital from February 2021 to May 2022,among whom 42 patients underwent tracheotomy with a standard disposable tracheostomy tube(control group)and 42 patients underwent tracheostomy with the modified tracheostomy tube set(study group).The two groups were compared in terms of blood gas parameters,inflammation markers,pulmonary infection score,extubation time,and daily mean airway care time.Results significantly greater changes in these indicators compared with the control group(P<0.05);both groups had significant reductions in IL-8,hs-CRP,and TNF-α,and the study group had significantly greater reductions than the control group(P<0.05);both groups had a significant reduction in CPIS,and the study group had a significantly greater reduction than the control group(P<0.05).In addition,compared with the control group,the study group had significantly shorter tracheostomy tube retention time and daily mean airway care time(P<0.05).Conclusions For SICH patients undergoing tracheostomy,the modified tracheostomy tube set can effectively improve lung function and blood gas parameters,alleviate inflammatory response,shorten tracheostomy tube retention time,and reduce the difficulty in airway management,and therefore,it has a certain clinical application value.关键词
脑出血/气管切开术/血气分析/呼吸道感染Key words
intracerebral hemorrhage/tracheotomy/blood gas analysis/respiratory infection分类
临床医学引用本文复制引用
张艳,魏玮,韩丹,王昆鹏,张建党..改良型气管切开套管组件在自发性脑出血患者中的临床应用效果[J].国际神经病学神经外科学杂志,2025,52(2):30-34,5.
