亚低温治疗脑神经外科ICU病人的观察与护理研究

Nursing of Sub-cryotherapy of Neurosurgery ICU Patients

目的 观察亚低温治疗对颅脑外伤及开颅术后中枢性高热者降温、预防褥疮的疗效。方法 研究 38例颅脑外伤后高热病人 ,应用亚低温疗法的护理。观察亚低温治疗前后氧饱和度 (SPO2 )、颅内压监测 (ICP)及生命体征 ,包括体温 (T)、脉搏 (P)、呼吸 (R)、收缩压 (SBP)、舒张压 (DBP)的平均值 ,配对t检验。结果 T、R、ICP、SPO2 经统计学处理P <0 .0 0 1,SBP经统计学处理P <0 .0 5 ,有显著性差异。P、DBP差异无显著性 ,P >0 .0 5。结论 应用调温床进行亚低温治疗对颅脑外伤及开颅术后中枢性高热者降温有良好效果 ,并能预防褥疮等并发症 。

its effect to reduce their temperature of center huperpyrexia patients who have accepted sub cryotherapy after craniocerebral trauma and craniotomy. Methods Investigation: with sub cryotherapy, how to nurse 38 hyperpyrexia patients who have incurred craniocerebral trauma. Observation: the changes of several markers of pretherapy and post treatment of sub cryotherapy. These makers include the average value of arterial oxygen Saturation(SPO 2)?intracranial pressure(ICP), temperature(T)?pulse(P)?respiration(R)?systolic pressure(SBP)?diastolic pressure(DBP). Statistics method: pair matching t test. Results All statistics probability(P) of T, R, ICP, SPO 2 are smaller than 0.001?P of SBP are smaller than 0.05, there are significant differences between pretherapy and post treatment. P of pulse and DBP are bigger than 0.05, so this two markers haven't significant difference between pretherapy and post treatment. Conclusions Sub cryotherapy by applicating temperature regulated bed is well effected to the patients of craniocerebral trauma and center Hyperpyrexia after craniotomy. Morever, this therapy can prevents complications such as bed sore. It is worth spreading and applicaing in clinical.