Effect of early tracheotomy on postoperative pulmonary infection in severe craniocerebral injury patients
10.7619/jcmp.201805037
- VernacularTitle:早期气管切开对重型颅脑损伤术后肺部感染的影响
- Author:
Jianying YAO
1
;
Yan YANG
;
Fuliang CAI
;
Weiyi GONG
Author Information
1. 江苏省昆山市第一人民医院重症监护室
- Keywords:
craniocerebral injury;
tracheotomy;
pulmonary infection;
C-reactive protein;
procalcitonin
- From:
Journal of Clinical Medicine in Practice
2018;22(5):119-120,124
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effect of early tracheotomy on pulmonary infection in patients with severe craniocerebral injury.Methods A total of 128 severe craniocerebral injury patients with craniotomy in ICU were randomly divided into early tracheotomy group and late tracheotomy group.The incidence of pulmonary infection,C-reactive protein (CRP) and procalcitonin (PTC) were compared.Results The infection rate of early tracheotomy group was significantly lower than that of late tracheotomy group (P ＜0.05).The CRP was significantly increased on the 1st,3rd,7th and 10th postoperative days in the two groups (P ＜ 0.05).PTC in the early tracheotomy group was significantly lower than that in the late tracheotomy group on the 7th and 10th days after operation (P ＜ 0.05).Conclusion Early tracheotomy can effectively reduce the incidence of pulmonary infection.Dynamic data of CRP and PTC in clinic can help control pulmonary infection.
