血管内降温治疗对重型颅脑损伤患者疗效及护理工作量的影响

The effect of endovascular hypothermia therapy on patients with severe brain injury

目的:探讨血管内降温治疗,对重型颅脑损伤患者预后及相应护理工作量等方面的影响,寻求一种更为科学有效的治疗方法。方法:按入院先后顺序将所选患者分为血管内降温治疗组34例与体表降温治疗组35例,比较两组并发症发生情况、预后、住院总天数、ICU住院天数、住院总费用以及护理工作量等指标。结果:两组在患者住院总时间、ICU住院天数以及护理工作量等方面存在显著差异(P<0.05)。结论:血管内降温治疗能够减少患者ICU住院天数及住院总天数,且在此基础上能一定程度地减少并发症的发生,取得了与传统亚低温治疗相同的远期预后效果,同时显著减少了亚低温治疗的护理工作量。

Objective： To explore the more scientific and effective cooling treatment method for patients with severe brain injury. Methods：According to the order of admission, the patients were divided into endovascular hypothermia therapy group（ n=34） and surface hypothermia therapy group（n=35）. The complication incidence rate, prognosis condition, hospital stay time and ICU time, total cost of hospitalization and nursing workload were compared between two groups. Results： There were significant differences in duration of staying in hospital and ICU, and nursing workload（P0.05）. Conclusion： Endovascular cooling treatment can reduce duration of staying in hospital and ICU,reduce the workload of nursing greatly and incidence of complications.