降温仪在重型颅脑损伤患者的疗效观察与护理

Curative effect observation and nursing of temperature lowering instrument in treating patients with severe craniocerebral injury

目的观察降温仪对缓解重度颅脑损伤患者术后体温升高以及颅内压的作用及疗效。方法对2010年5月至2012年5月间ICU收治的55例重度颅脑损伤患者进行临床分组研究。两组均采用常规ICU护理，对照组降温使用物理冰袋，观察组降温使用降温仪。观察两组患者降温隋况以及治疗前后颅内压情况。结果观察组患者有效降温明显高于对照组（P〈0．01），而颅内压亦以观察组下降较为显著（P〈0．01）。结论降温仪能够缓解重型颅脑损伤患者体温升高、颅内压较高的情况。

Objective To observe the function and curative effect of the temperature lowering instrument to relieve severe craniocerebral injury patients with a high body temperature and intracranial pressure. Methods From May 2010 to May 2012 in our hospital 55 routine emergency patients with severe craniocerebral injury were divided for clinical research groups. Two groups used conventional care in the intensive care unit （ICU）, control cooling used physical ice bag, the observation group cooling used temperature lowering instrument. The two groups were observed cooling condition before and after treatment as well as the intracranial pressure situation. Results Observation group obviously had greater cooling effect than that in control group （P〈0.01）, and intracranial pressure in observation group also declined much more significantly （P〈0.01）. Conclusion Temperature lowering instrument can relieve the conditions of body temperature increasing and intracranial pressure getting higher in severe craniocerebral injury patients.