| Objectives To study the timing of tracheotomy in patients with severe cerebro -vascular disease and to explore the clinical value of early tracheotomy providing the basis for clinical therapy.Methods We investigated 64 severe cerebrovascular disease patients from March 2001 to March 2011 in Ningxia Medical University Hospital. All the patients were underwent endotracheal intubation in 48 hours after admission. To tracheal intubation 5 days is the sector. Patients were divided into two groups: early tracheotomy group who underwent tracheotomy within 5 days after endotracheal intubation, and late tracheotomy group who underwent tracheotomy after 5 days. First, we compared the general index between the two groups like gender, age, past history, distribution of cerebrovascular diseases, etc. Second, we compared the mortality, mechanical ventilation rate, duration of artificial ventilation, length of stay in intensive care unit (ICU) and incidence of hospital acquired pneumonia(HAP)of the two groups.Results No significant difference between general indicators like gender, age, past medical history, Smoking history, etc, in the two groups (P>0.05). We have found that no significant difference between mortality, mechanical ventilation rate, incidence of hospital acquired pneumonia (HAP) in the two groups (P>0.05). There were significant differences between duration of artificial ventilation, length of stay in intensive care unit (ICU) in the two groups (P<0.05).Conclusion Early tracheotomy could reduce the duration of mechanical ventilation and length of stay in intensive care unit(ICU). But early tracheotomy could not reduce mortality, incidence of hospital acquired pneumonia (HAP). Clinicians should correctly understand the need for tracheotomy, integrate to determine the patient's condition.Patients who is not expected to recover consciousness in the short term and need long-term artificial airway or mechanical ventilation should be appropriate to consider early tracheostomy. |
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