两种降温方法治疗重型颅脑损伤的效果观察及护理  

Therapeutic effect and nursing of two kinds of cool down methods used on patients with severe traumatic brain injury

作　　者：谢娥[1] 

机构地区：[1]四川省自贡市第一人民医院,四川自贡643000

出　　处：《吉林医学》2010年第23期3903-3905,共3页Jilin Medical Journal

摘　　要：目的:探讨两种降温疗法对重型颅脑损伤患者效果的影响。方法:将90例重型颅脑损伤患者随机分为亚低温组和对照组各45例。两组患者均采用脱水、抗炎、降颅内压等治疗,亚低温组在此基础上实施全身降温加冬眠疗法,对照组在此基础上采用局部降温疗法。结果:与对照组比较,亚低温组颅内压、重残率和死亡率显著降低,恢复良好率显著提高,预后显著改善(P(0.05),并发症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,在护理过程中,密切观察生命体征及病情变化,严格控制降温和复温,加强基础护理,保证亚低温治疗的正常进行,可显著降低重症颅脑损伤患者的致残率和病死率,改善其预后,提高生存质量。Objective To investigate the therapeutic effect of the two cool down methods on severe traumatic brain injury.Method Total 90 patients with severe traumatic brain injury were randomly divided into the control group and the mild hypothermia group of 45 patients each.The mild hypothermia group uesed the method of decreased temperature of whole body and ＂Frozen sleep＂,while the control group only decreased temperature of part.Besides both groups were treated with dehydration,resisting imflammation,decreasing intracranial pressure and so on.Results Compared with the control group,the mild hypothermia group had lower intracranial pressure,severe disability rate,death rate,higher good recovery rate and improved persisted vegetative state（P〈0.05）.The complications were with no difference（P〉0.05）.Conclusion The mild hypothermia therapy has obviouse brain pertective effect.Carefully watching the symbol of life and the change of disease,Strictly controlling cool down and restore temperature,strenthen the basic nursing,could notebaly decrease the rate of disability and death of severe traumatic brain injury patients.So that improve their prognosis and life quality.

关 键 词：亚低温 颅脑损伤 疗效 护理 

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