亚低温治疗仪在颅脑外伤的应用分析

Application of Mild Hypothermia Therapeutic Equipment in Craniocerebral Trauma

目的探讨亚低温治疗仪在颅脑外伤的应用价值。方法方便选取2016年2月—2017年1月该院收治的颅脑外伤100例患者随机分为研究组(采取基础物理降温、药物降温联合亚低温治疗仪)和对照组(采取物理降温与药物降温)。对比两组出血部位及出血量;治疗前后生命体征指标;患者出院时预后。结果研究组和对照组出血部位及出血量比较差异无统计学意义(P>0.05);研究组和对照组治疗前体温、脉搏、呼吸分别为[(38.26±1.25)℃、(115.36±6.35)次/min、(21.35±4.25)次/min]、[(38.25±1.31)℃、(116.27±7.15)次/min、(21.43±4.31)次/min],指标比较差异无统计学意义(P>0.05);两组治疗后研究组和对照组治疗前体温、脉搏、呼吸分别为[(36.44±0.54)℃、(73.62±5.81)次/min、(18.25±2.24)次/min]、[(37.86±0.78)℃、(89.67±6.14)次/min、(18.97±2.87)次/min],指标比较差异有统计学意义(P<0.05);研究组和对照组患者出院时预后比较差异有统计学意义(P<0.05)。结论在常规药物及物理降温基础上,给予颅脑外伤患者亚低温治疗仪治疗,可以改善患者预后,保证生命体征的平稳。

Objective This p a p e r tries to inv es tig ate th e ap p l ic a t io n v alue of mild h ypothermia th e rap eu t ic eq u ipm en t in craniocerebral trauma. Methods C onvenient s ele ct ion 100 c a se s of p a t ien ts with c ran io c e re b ra l traum a in this h ospi tal from February 2016 to January 2017 were randomly divided into the study group （taking basic phys ical hypothermia, drug cooling combined with mild hypothermia therapeut ic apparatus ） and the control group （taking phys ical cooling and drug cooling）.the bleeding sites and the amount of bleeding in the two groups;the vital signs of the two groups before and af ter treatment ;the prognosis of the two groups at discharge were compared. Results T he re were no d ifferences in th e b le ed in g pos ition and volume between the study group and the control group （P〉0.05）; the body temperature, pulse, respiratory before treatment in the study group and the control group were [ （38.26±1.25）益,（ 1 1 5 .3 6 ± 6 .3 5 ） t im e s /m in ,（2 1 .3 5 ± 4 .2 5 ） t im e s /m in ] and （3 8 .2 5土 1.31）℃,（ 1 16 .2 7± 7 .1 5 ） time s/min ,（2 1 .4 3± 4 .3 1 ）times /min ], and th e differenc e was not signif icant （P〉0.05）; th e body temp e ra -ture, pulse and respirat ion af ter treatment in the s tudy group and the control group were [（36.44±0.54）℃, （7 3 .6 2± 5.81 ）t im es / min,（18.25±2.24） times/min] and [（37.86±0.78）T!,（89.67±6.14） t imes/min,（18.97±2.87）t imes/min] , thedi f ferencewassigni fi - cant（P〈0.05）; the prognosis between the s tudy group and the control group was s ignif icantly different （P〈0.05）. Conclu-sion On th e bas is of ro u tin e drugs and p h ys ic a l cooling, th e tre a tment of mild h yp othe rmia in c ranioc e re bra l trauma pa-tients can improve the prognosis of pat ients and ensure the stabil ity of vital signs.