脑外伤病人心钠素监测与体位护理  

Determination of ANP in the Patients with Head Trauma and Postural Care

作　　者：于守香[1] 杨文霞[1] 

机构地区：[1]江苏省南京市第一医院,南京210006

出　　处：《护理学杂志（综合版）》1998年第5期267-268,共2页Journal of Nursing Science

摘　　要：应用放射免疫法检测30例清醒闭合型颅脑损伤病人的外周血心钠素（ANP），发现：病人受伤24h内卧位和坐位时ANP值均显著升高，尤以坐位升高更加明显；受伤后1周，卧位和坐位时ANP值也显著升高，但坐位和卧位相比无显著差异。以上结果表明，脑外伤病人受伤早期ANP释放多，尤其坐位释放更多，心钠素具有强烈的利尿和利尿钠作用，有利于减轻脑水肿，为临床脑外伤病人采取头高位提供了理论依据。The level of peripheral blood ANP in 30 patients with sober closed head trauma was determined using radioimmunoassay. It was found that ANP level in lying and sitting positions was significantly increased in 24 h after headtrauma, especially in sitting position. One week after head trauma, the level of ANP was also significantly increased in lying and sitting positions, but no statistical difference between them. The results suggested that in the early stage of headtrauma ANP release was elevated, especially in stitting position. ANP had the strong therapeutic effect of diuresis andsodium diuretin and could alleviate brain edema, which might provide the theoretical foundation for the head traumatic patients with sitting position in clinically.

关 键 词：脑外伤 心钠素 体位护理 监测 放射免疫测定 

分 类 号：R651.15[医药卫生—外科学] R473.6[医药卫生—临床医学]