亚低温在重型颅脑损伤患者中的应用及护理

Application and nursing of mild hypothermia on patients with severe brain injury

目的探讨亚低温对重型颅脑损伤的临床效果及相应的护理措施。方法将73例重型颅脑损伤患者随机分为亚低温组36例和对照组37例。对照组给予常规治疗,亚低温组在此基础上加用亚低温治疗。结果亚低温组体温<38.5℃的比率明显高于对照组,而>38.5℃的比率则明显低于对照组(P<0.01)。亚低温组6个月后恢复良好率明显高于对照组(P<0.05),而重残以上的比率则明显低于对照组(P<0.05)。结论在常规治疗的基础上,采用亚低温治疗能有效改善重型颅脑损伤患者的预后,而严密监测和精心护理是保证亚低温成功实施的关键。

Objective To explore the therapeutic effect and its nursing measures of mild hypothermia in the treatment of patients with severe brain injury.Methods Seventy-three patients with severe brain injury were divided randomly into mild hypothermia group and control group, two groups received conventional therapy, moreover, the mild hypothermia group was treated with mild hypothermia therapy.Results The rate of temperature<38.5 ℃ in mild hypothermia group was higher than the control,while the rate of temperature>38.5 ℃ was lower than the control(P<0.01).The rate of good recovery of mild hypothermia group after treatment of six months was higher than the control, while the rate of above severe disability was lower than the control(P<0.05).Conclusion On the basis of conventional therapy, mild hypothermia therapy can improve effectively the prognosis of patients with severe brain injury, but keep close watch over and nursing with great care are the key of successfully carry out the therapy.