亚低温治疗重型颅脑损伤的效果观察及护理措施

THE EFFECT OF MILD HYPOTHERMIA THERAPY IN PATIENTS WITH SEVERE TRAUMATIC BRAIN INJURY AND NURSING OBSERVATION

目的探讨重型颅脑损伤患者使用亚低温治疗效果及护理方法。方法将临沂市精神卫生中心2012年5月-2013年5月收治的88例重型颅脑损伤患者随机分为亚低温治疗组和常规治疗组,各44例。亚低温治疗组在常规治疗的基础上于发病后24h内使用亚低温治疗,常规治疗组采用常规治疗的方法。治疗3个月后采用Glasgow预后分级（GOS）评分来判定疗效。结果亚低温治疗组治疗效果明显优于常规治疗组。结论局部亚低温治疗结合一系列护理干预措施治疗重型颅脑损伤疗效显著,可以改善患者预后。

Objective To observe the therapeutic effect of local mild hypothermia in treating patients with severe brain injury and the nursing intervention measures.Methods 88 cases of severe traumatic brain injury patients in our hospital from May 2012 to May 2013 were admitted into hypothermia treatment group and routine treatment group（n=44/each group）.Hypothermia treatment groups in the use of hypothermia treatment within 24 hafter the onset of treatment on the basis of conventional control group using conventional methods of treatment.At 3months after the onset of efficacy assessed by GOS.Results The hypothermia treatment group health education effect obviously surpasses the comparison group（P 〈0.05）.Conclusion Local mild hypothermia therapy combined with nursing intervention measures are effective for severe brain injury,which can improve the patients＇ prognosis.