摘要
目的探讨早期气管插管对高血压性脑出血患者早期并发症的影响。方法对81例行气管插管的严重高血压性脑出血患者依据气管插管时间临床指标分为2组,即常规气管插管组(常规组)49例和早期气管插管组(早期组)32例。比较2组插管前后生命体征及检验指标变化、早期严重并发症发生率。结果与常规组比较,早期组气管插管前后生命体征稳定,心率、呼吸、血压、PaO2、PaCO2波动不明显(P>0.05),血乳酸无加重;上消化道出血、高血糖、肺炎发生率降低,差异有统计学意义(P<0.05);呼吸衰竭、急性心肌梗死、急性肾功能衰竭发生率无差异(P>0.05)。结论对严重高血压性脑出血患者早期气管插管可降低部分并发症的发生率。
Objective Discussion on effect of early Tracheal cannula on early complications of patients with hyperte sive intracerebral hemorrhage. Methods 81 intubated patients with serious hypertensive intracerebral hemorrhage were divided into two groups, conventional endotraehea] intubation group （conventional） and early endotracheal intubation group （early）. We compared vital signs, laboratory indicators, incidence rate of the ear｜y severe complications before and after intubation between the two groups. Results Vital signs - heart rate, respiration, blood pressure are stable, PaO2 , PaCO2 had no obvious fluctuation, blood lactic acid had no increase before and after intubation in the early endotraeheal intubation group （P〉0. 05）. Compared with the conventional group , the incidence of upper gastrointestinal bleeding, high blood sugar, pneumonia reduced in the early endotracheal intubation group. There is a significant difference on the incidence of above complications between the two groups （P 〈 0.05 ）. The incidence rate of Respiratory failure, acute myocardial infarction, acute renal failure had no difference between the two groups （ P 〉 0.05 ）. Conclusion Early Tracheal eannula can reduce the incidence of some complications for patients with serious hypertensive intraeerebral hemorrhage.
出处
《临床合理用药杂志》
2009年第2期16-18,共3页
Chinese Journal of Clinical Rational Drug Use
关键词
高血压
脑出血
气管插管
并发症
Hypertension
Intracerebral hemorrhage
Early stage
Tracheal eannula
Complications
