亚低温治疗重型颅脑损伤疗效观察与护理探讨

Clinical observation and nursing of mild hypothermia treatment of severe traumatic brain injury

目的探讨亚低温治疗重型颅脑损伤的临床疗效和护理措施。方法 53例重度颅脑外伤患者随机分为观察组30例和对照组23例。观察组给予亚低温治疗和相应护理措施,对照组给予常规治疗。观察比较2组的存活率、颅内压(ICP)和格拉斯哥评分(GCS)。结果观察组存活率高于对照组,且观察组治疗第2、3、6天ICP均低于对照组,差异均有统计学意义(P<0.05);第7天及治疗1个月后GCS均高于对照组,差异有统计学意义(P<0.05)。结论亚低温治疗重型颅脑损伤患者疗效显著,治疗期间的观察与护理非常重要,可显著改善患者的预后。

Objective To study the clinical efficacy and nursing measures of mild hypothermia on severe traumatic brain injury. Methods 53 cases of severe head injury were randomly divided into observation group of 30 cases and the con-trol group of 23 cases. Observation group was given care of mild hypothermia treatment and the corresponding measures,for the control group received conventional therapy. 2 groups were observed and compared the survival rate of intracranial pressure （ICP）and Glasgow score（GCS）. Results The survival rate of the observation group was higher than that of control group,and ICP of the second,third,sixth days after treatment were lower than the control group,the differences were statistically significant （P 0. 05）;7 days and 1 month after treatment GCS scores were higher than the control group（P 0. 05）. Conclusion Mild hypothermia treatment efficacy in patients with severe head injury significant observation during treatment and care is very important,can significantly improve the prognosis of patients.