[Strategy by stages for preventing @entity1576 of acute cervical XXXX ].

@entity1 @entity5923 @entity55 @entity891 @entity1576 @entity1566 @entity130
OBJECTIVE: To investigate clinical effects of strategy by stages for preventing @entity1576 of @entity1 with acute cervical @entity1566 (ACSCI). METHODS: From September 2009 to May 2013,the clinical data of 91 @entity1 with ACSCI underwent surgery were retrospectively analyzed. Among the @entity1 , 42 @entity1 were divided into in-stages group, including 30 males and 12 females with an average age of 50 years old (ranged 28 to 76) which were treated with strategy by stages for preventing @entity1576 ; others 49 @entity1 which were not treated with the strategy regarded as control group, including 38 males and 11 females with an average age of 47 years old (ranged 30 to 77). All of them had definite history of @entity130 , and were admitted to orthopaedics within 48 h after @entity130 . In in-stages group, respiratory muscle strength training, high-dose @entity5923 using and other treatment were performed to prevent respiratory complilcations according to preoperative, intraoperative and postoperative stage. While in control group, there were no systematic and effective measures utilized. Chi-square test was used to evaluate the difference for @entity1576 rate, the rate of tracheostomy or intubation and mortality caused by the @entity1576 between two groups. RESULTS: Ten @entity1 developed with @entity1576 in in-stages group (7 @entity1 with @entity55 , 1 with @entity891 and 2 with @entity1576 ), among which 3 @entity1 underwent tracheostomy or intubation. In control group, 24 @entity1 developed with respiratory complilcations (15 with @entity55 ,3 with @entity891 and 6 with @entity1576 ), among which 11 @entity1 underwent tracheostomy or intubation. There was significant difference between two groups (  2 = 6.12, 4.07; P = 0.013, 0.044). Five @entity1 died because of @entity1576 , one case were in in-stages group and 4 in control group. There was significant difference between two groups (  2 = l.39, P = 0.238). CONCLUSION: The strategy by stages is an effective method for preventing @entity1576 of ACSCI and can reduce the @entity1576 rate and improve the prognosis of @entity1576 .
