| 马淑娟
，程玮涛
，徐跃峤.神经外科重症患者计划拔管失败的相关因素分析[J].神经损伤功能重建,2018,13(4):184-186 |
| 神经外科重症患者计划拔管失败的相关因素分析 |
| Related Factors of Planned Extubation Failure in Patients with Severe Brain Injury |
| |
| DOI： |
| 中文关键词: 神经外科 气管插管 拔管 重症监护 |
| 英文关键词: neurosurgery tracheal intubation extubation critical care unit |
| 基金项目:北 京 市 科 委 基 金
（No.
0129）
303-01-004- |
|
| 摘要点击次数: 2618 |
| 全文下载次数: 2807 |
| 中文摘要: |
| 目的：调查分析神经外科重症患者气管插管计划拔管失败的相关影响因素。方法：收集我科重症监护
室进行气管插管、带管时间＞48 h、进行过气管插管拔管操作的患者的临床资料及与拔管结果相关的影响因
素，比较拔管成功组与失败组之间因素的差异，分析其危险因素。结果：共收集病例108例，拔管失败19例，
成功89例。2组格拉斯哥昏迷量表（GCS）评分、机械通气时间、呼吸浅快指数、咳嗽反射差异有统计学意义
（P＜0.05）。结论：GCS评分、机械通气时间、呼吸浅快指数及咳嗽反射可能是影响气管插管计划拔管成败
的重要因素。 |
| 英文摘要: |
| To investigate and analyze the related factors of planned extubation failure in patients
with severe brain injury treated with tracheal intubation. Methods: Clinical data and related factors of
extubation results were collected on NICU patients who underwent tracheal intubation, experienced a >48 h
intubation time, and underwent extubation. The difference between extubation success group and failure group
was compared, and the risk factors of extubation were analyzed. Results: A total of 108 cases were collected
with 19 cases of planned extubation failure and 89 cases of success. The difference in Glasgow coma scale
（GCS）score, mechanical ventilation time, rapid shallow breathing index, and cough reflex between the two
groups showed statistical significance（P<0.05）. Conclusion: GCS score, mechanical ventilation time, rapid
shallow breathing index, and cough reflex are possible related determinant factors that influence the outcome of
extubation |
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