重型颅脑损伤患者的临床护理措施及疗效研究

CURATIVE EFFECT OF MILD HYPOTHERMIA HIBERNATION THERAPY AND CLINICAL NURSING ON SEVERE CRANIOCEREBRAL INJURY

目的探讨亚低温冬眠疗法及护理对重型颅脑损伤患者的临床及护理疗效。方法将收治住院的108例重型颅脑损伤患者随机分为观察组和对照组各54例,两组患者在给予常规脱水、止血、抗感染、降低颅内压等治疗的同时,对照组再给予局部降温疗法,观察组再于伤后24h内实施全身降温和持续静滴冬眠1号治疗及综合护理,分析两组疗效情况。结果与对照组比较,观察组中残率、重残率和死亡率明显低于对照组,恢复良好率显著提高,差异均有统计学意义(P<0.05),两组并发症发生率比较差异无统计学意义(P>0.05)。结论亚低温冬眠治疗具有肯定的脑保护作用,配合综合护理,严格控制降温和复温,能迅速改善重型颅脑损伤患者临床症状,是安全有效的治疗方法,可降低致残率和病死率,改善其预后。

Objective To explore the clinical effect of mild hypothermia hibernation therapy and nursing on severe craniocerebral injury .Methods 108 cases of severe craniocerebral injury were randomly divided into the observation group and the control group with 54 cases in each group ,and both groups were given the treatment of conventional dehydration , haemostasis , anti‐infection and lowering pressure treatment ,with the control group given local cooling therapy and the observation group given overall cooling therapy ,continuous mild hypothermia hibernation ther‐ 〈br〉 apy within 24 hours after injury and comprehensive nursing .The curative effects in both groups were com‐pared .Results The disability rate ,the severe disability rate and the mortality rate in the observation group were significantly lower than those in the control group ,and the rate of good recovery was more improved in the observation group than in the control group （ P 〈 0 .05） .No significant differences in the occur‐rence of complications between the two groups was found（ P 〉 0 .05） .Conclusion Mild hypothermia hi‐bernation therapy can produce good curative effect on severe craniocerebral injury .