摘要
Abstract
Objective:To investigate the effect of ultra-early tracheal intubation on clinical outcomes in patients with traumatic brain injury(TBI).Method:The clinical data of 94 patients with severe TBI admitted by Xingtan Hospital of Shunde Hospital of Southern Medical University to General Hospital from January 2022 to May 2024 were retrospectively analyzed.The propensity matching scoring method was applied to divide them into conventional group(given conventional tracheal intubation according to the condition)and ultra-early group(performed ultra-early tracheal intubation)according to the timing of tracheal intubation,with 47 cases in each group.The blood gas analysis indexes[arterial blood partial pressure of carbon dioxide(PaCO2),partial pressure of oxygen(PaO2),and oxygen saturation(SaO2)],optic nerve sheath diameter(ONSD),clinical indexes(duration of mechanical ventilation,length of hospitalization,and incidence of aspiration pneumonia),and clinical outcomes were compared between the two groups at the time of admission and after intubation.Result:After intubation,SaO2 and PaO2 increased and PaCO2 and ONSD decreased in both groups,and SaO2 and PaO2 were higher in the ultra-early group than in the conventional group,and PaCO2 and ONSD were lower than in the conventional group,and the difference was statistically significant(P<0.05).The duration of mechanical ventilation and hospitalization in the ultra-early group was shorter than that in the conventional group,and the incidence of aspiration pneumonia was lower than that in the conventional group,with statistically significant differences(P<0.05).The incidence of good prognosis in the ultra-early group was higher than that in the conventional group,and the difference was statistically significant(P<0.05).Conclusion:Ultra-early tracheal intubation effectively improves oxygenation,shortens hospitalization time,and reduces the risk of aspiration pneumonia in patients with severe TBI,contributing to an improved patient prognosis.关键词
超早期气管插管/颅脑损伤/血气指标/临床结局Key words
Ultra early endotracheal intubation/Brain injury/Blood gas indicators/Clinical outcome
