重型颅脑损伤患者亚低温治疗时毯面温度与肺炎的关系

目的探讨重型颅脑损伤患者行亚低温治疗毯面温度与肺炎的关系,同时总结治疗过程中预防肺炎的护理措施。方法选择本院重型颅脑损伤并应用亚低温治疗、且均行气管切开术患者90例,随机分为A、B、C3组,采用不同的毯面温度对患者进行亚低温治疗。观察3组患者肺炎的发生情况。结果A、B、C3组肺炎的发生率分别是53.33%、30.00%和23.33%,3组比较差异有统计学意义(P<0.05),以A组肺炎的发生率相对最高。结论毯面温度为(6±2)℃时,并发肺部感染的发生率较高,临床上应谨慎采用该毯面温度。

Objective To investigate the relationship of pneumonia and acio-tapeta temperature during mild hypothermia for treating severe craniocerebral injury and summarized prophylactic nursing intervention. Methods 90 patients with severe craniocerebral injury treated with incision of trachea as well as mild hypothermia on acio-tapeta were equally randomized into three groups： group A, B and C were managed at different acio-tapeta temperatures. The incidences of pneumonia in all groups were calculated. Results The incidences of pneumonia of group A, B and C were 53.33%, 30.00% and 23.33%, respectively, with statistical differences between the three groups （P 〈 0.05）. The incidence of pneumonia in group A was highest. Conclusions The acio-tapeta at a temperature of （6 ±2）℃ may induce pneumonia. Therefore, we should be prudent when setting the acio-tapeta temperature at （6 ±2）℃.