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目的探讨不同封管材料在重症脑卒中气管切开患者中的应用效果。方法选取2016年1月-2017年4月平煤神马医疗集团总医院收治的行气管切开术的重症脑卒中患者109例的临床资料为研究对象,随机分成研究组(55例)和对照组(54例),研究组选取一次性真空采血管管塞为封管材料,对照组选用传统棉签、木制塞为封管材料,观察并记录两组患者肺部感染次数及拔管成功例数。结果研究组拔管成功率为92.7%显著高于对照组的44.4%,肺部感染率为23.6%,显著优于对照组的64.8%,差异均有统计学意义(P<0.01)。结论一次性真空采血管管塞作为气管切开封堵材料能够降低肺部感染率和提高拔管成功率,值得临床推广应用。
Objective To investigate the effect of different sealing materials in tracheotomy patients with severe stroke. Methods The clinical data of 109 patients with severe stroke admitted to Pingdingshan Shenma Medical Group General Hospital from January 2016 to April 2017 were selected and randomly divided into study group (55 cases) and control group Group (n = 54). The study group selected the disposable vacuum tube plug as the sealing material, the control group used the traditional cotton swab and the wooden plug as the sealing tube material, and observed and recorded the number of pulmonary infection and successful extubation number. Results The success rate of extubation was 92.7% in study group, 44.4% in control group, 23.6% in lung infection group, which was significantly superior to 64.8% in control group (P <0.01). Conclusion One-time vacuum blood collection tube plug as a tracheostomy plugging material can reduce the pulmonary infection rate and improve the success rate of extubation, worthy of clinical application.