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目的:探讨早期机械通气在重型颅脑损伤治疗中的临床应用价值。方法:对2003年5月—2008年4月在我院接受机械通气治疗的重型颅脑损伤患者48例的临床资料进行回顾性分析,48例患者中入院时即刻使用机械通气(A组)26例,治疗过程中出现呼吸功能衰竭后才使用机械通气(B组)22例,对两组间机械通气前后呼吸监测指标(PaO2、R、PaCO2、SaO2)变化及预后情况进行对比分析。结果:B组有l8例(占81.82%)出现呼吸功能衰竭并使用呼吸机,两组机械通气前后PaO2、R、PaCO2、SaO2等呼吸监测指标差异有统计学意义(P<0.05);6个月后按GOS预后判断,两组间死亡率无明显差异,但A组预后优于B组(P<0.05)。结论:重型颅脑损伤后早期应用机械通气能较早地改善患者术后的缺氧症状,有助于纠正损伤后低氧血症和意识恢复,减少并发症,提高生存质量。
Objective: To investigate the clinical value of early mechanical ventilation in the treatment of severe craniocerebral injury. Methods: The clinical data of 48 patients with severe craniocerebral injury undergoing mechanical ventilation in our hospital from May 2003 to April 2008 were analyzed retrospectively. 48 patients were admitted to hospital immediately with mechanical ventilation (group A) For example, mechanical ventilation (group B) was used only after 22 cases of respiratory failure during treatment, and the changes of respiratory monitoring index (PaO2, R, PaCO2, SaO2) and prognosis before and after mechanical ventilation were compared between the two groups. Results: In group B, respiratory failure occurred in 18 cases (81.82%) and ventilator was used. There were significant differences in PaO2, R, PaCO2 and SaO2 before and after mechanical ventilation between the two groups (P <0.05) According to the prognosis of GOS after a month, there was no significant difference in mortality between the two groups, but the prognosis of group A was better than that of group B (P <0.05). Conclusion: The early application of mechanical ventilation after severe craniocerebral injury can improve the symptoms of hypoxia earlier, and it can help to correct hypoxemia and consciousness recovery after injury, reduce the complications and improve the quality of life.