国际神经病学神经外科学杂志2026，Vol.53Issue(1)：59-63,5.DOI:10.16636/j.cnki.jinn.1673-2642.2026.01.009
颅脑术后加强监护病房患者气管切开时机与住院预后的关系
Association between tracheostomy timing and prognosis in patients admitted to the intensive care unit after cranial surgery
摘要
Abstract
Objective To investigate the impact of tracheostomy timing on clinical prognosis in patients admitted to the intensive care unit(ICU)after neurosurgical cranial surgery.Methods A retrospective cohort study was conducted among 188 patients who underwent tracheostomy after cranial surgery in Department of Critical Care Unit,Beijing Tiantan Hospital,Capital Medical University,from July 2023 to July 2024,and according to the time from intubation to tracheostomy,they were divided into early tracheostomy group(≤7 days)and late tracheostomy group(>7 days).Baseline data and clinical outcomes were collected and compared between the two groups,and the univariate and multivariate analyses were used to assess the impact of tracheostomy timing on prognosis.Results A total of 188 patients were enrolled,with 49 in the early tracheostomy group and 139 in the late tracheostomy group.The multivariate analysis showed that compared with the late tracheostomy group,the early tracheostomy group had a significantly higher proportion of patients undergoing brain tumor surgery and a significantly higher incidence rate of cough reflex impairment(P<0.05),as well as a significantly lower incidence rate of ventilator-associated pneumonia(P<0.05).Early tracheostomy was an independent influencing factor for reducing the length of ICU stay,the total length of hospital stay,and hospital costs(P<0.05).Conclusions For patients after neurological cranial surgery,especially those with brain tumor and impaired cough reflex,early tracheostomy(≤7 days)can significantly reduce the incidence rate of pulmonary infections,shorten the duration of mechanical ventilation,the length of ICU stay,and the total length of hospital stay,and reduce hospital costs.关键词
颅脑手术/气管切开术/时机/预后Key words
cranial surgery/tracheostomy/timing/prognosis分类
医药卫生引用本文复制引用
杨涛,赵经纬..颅脑术后加强监护病房患者气管切开时机与住院预后的关系[J].国际神经病学神经外科学杂志,2026,53(1):59-63,5.基金项目
吴阶平医学基金会临床科研专项(320.6750.2023-13-7). （320.6750.2023-13-7）
