局部亚低温治疗脑梗死的护理及临床效果  

Nursing method and clinical effect of local mild hypothermia for cerebral infarction

作　　者：翟秀丽[1] 

机构地区：[1]沈阳市第一人民医院神经内科,辽宁沈阳110041

出　　处：《中国当代医药》2013年第22期188-189,共2页China Modern Medicine

摘　　要：目的探讨局部亚低温治疗脑梗死的护理措施及临床效果。方法选择本院60例脑梗死患者,随机分为两组,各30例,其中观察组实施选择性亚低温治疗,对照组则实施全身亚低温治疗,比较两组患者脑部和颈部温度降低至35℃所需时间及治疗并发症情况。结果两组脑部和颈部温度降低至35℃所需时间差异无统计学意义(P>0.05),观察组发生局部冻伤、低体温、肝功能损伤以及肾功能衰竭的比例显著低于对照组(P<0.05)。结论选择性亚低温治疗脑梗死在保证降温效果的同时,能显著减少并发症,是一种更为安全有效的亚低温治疗方法。Objective To explore the nursing methods and clinical effect of local mild hypothermia for cerebral in- farction. Methods 60 cases of patients with cerebral infarction were divided into two groups, 30 cases in each group, the observation group was given selective mild hypothermia therapy and the control group was given systemic mild hy- pothermia therapy, the time of head and neck temperature to 35℃ and complications in the two groups were compared. Results The time of brain and neck temperature to 35 ℃ in the two groups had no significant difference （P〉0.05）,the local frostbite, hypothermia, liver function damage and renal failure rate of observation group was lower than control group（P〈0.05）. Conclusion Selective mild hypothermia therapy has good effect in treatment of cerebral infarction, and it can reduce complication, so it is more safe and effective method for mild hypothermia.

关 键 词：局部亚低温 脑梗死 护理 效果 

分 类 号：R743.33[医药卫生—神经病学与精神病学]