重型颅脑损伤亚低温治疗与护理干预  

The treatment and nursing using subhypothermia in patients with severe brain injury

作　　者：李琦[1] 翁秀珍[1] 杨柄湖[1] 

机构地区：[1]惠州中心医院神经外科,广东省惠州516001

出　　处：《中国基层医药》2009年第2期249-250,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨亚低温治疗重症颅脑损伤的疗效及相关护理措施。方法70例重型颅脑损伤患者随机分为治疗组35例和对照组35例，治疗组采用亚低温治疗与相关护理，对照组采用常规治疗护理，比较两组治愈率、病死率及并发症发生情况。结果治疗组治愈30例（85．7％）、死亡5例（14．3％），对照组治愈23例（65．7％）、死亡12例（34．3％），两组比较差异均有统计学意义（Χ^2=4．15、3．99，均P〈0．05）；治疗组治疗后GOS评分（3．23±2．15）分低于对照组（5．03±0．96）分（t=3．52，P〈0．05）；治疗组并发症发生率17．0％（6／35）低于对照组37．1％（13／35）（Χ^2=3．95，P〈0．05）。结论亚低温治疗重型颅脑损伤并适当的护理干预，可以提高治愈率，减少并发症的发生。Objective To investigate the curative effect and care measures using subhypothermia treatment in patients with severe brain injury. Methods 70 cases of severe brain injury were randomly divided into treatment group（ n = 35 ） and control group（ n = 35 ） ,the treatment with subhypothermia and correlation care ,control group treated with conventional treatment care. Compared rate of cure, mortality and complications in two groups. Results In treatment group cured 30 cases （85.7%）,5 patients died （14. 3% ）, the control group cured 23 cases （65.7%）, death 12 cases （ 34. 3% ）. Two groups had significant difference （ Χ^2 = 4. 15, Χ^2 = 3.99, P 〈 0. 05 ）. The GOS score （3.23 ±2. 15） points in treatment group were lower than the control group（5.03 ±0. 96） points after treatment（t = 3.52,P 〈0. 05 ）. The incidence of complications in the treatment group was 17.0% （ 6/35 ） lower than the control group,37. 1% （13/35） （ Χ^2 = 3.95, P 〈 0. 05 ）. Conclusion Subhypothermia care may reduce complications in patients with severe brain injury.

关 键 词：颅脑损伤 低温 人工 治疗 护理 

分 类 号：R473[医药卫生—护理学]