降温床用于颅脑外伤亚低温治疗的护理对照研究

Nursing Comparison of GL-Temperature-Lowering Bed Used in Moderate Hypothermia TReatment for Traumatic Brain Injury

研究降温床对颅脑外伤患者进行亚低温治疗的疗效、不良反应、护理要点。 15 4例重型颅脑损伤及 92例特重型颅脑损伤 ,分别随机分为亚低温组与对照组 ,监测项目 :心电、呼吸、血压、血氧饱和度、电解质、血液粘膜测定、血小板计数、白陶土部分凝血活酶时间、意识、格拉斯哥昏迷评分 (GCS)、瞳孔 ,注意有无冻伤、褥疮等不良反应发生。对于GCS >3的患者不良反应少 ,GCS =3患者中存在复温困难的现象。降温床行亚低温治疗能显著提高重型颅脑损伤的存活率 。

To examine the effects of moderate hypothermia by using temperature lowering bed on patients with severe head injury and the most severe head injury. Uotoward reaction and the essentials of nursing were observed.154 cases of patients with severe head injury and 92 patients with the most severe head injury were randomly divided into the moderate hypothermia group and thecontral group. The contents of observation: heart electricity, respiration, blood pressure, oxyeen saturation, electrolyte, blood iscosity determianation, platelet count, Kaolin partly throhoplastin time, consciousness, Glasgow coma sclaes(GCS),pupil, frostite and bedsore. There was less untoward reaction in patients with a score greater than 3 on GCS, but it is difficult to recover the baby temperature patients with a score of 3. Therapy of moderate hypothermia by using temperature lowering bed can increase livability of patients with severe head injury, which may be a new way to treat severe head injury.