颅脑损伤后低钠血症的治疗分析  

Analysis of the treatment of hyponatremia after brain injury

作　　者：李革军 

机构地区：[1]河南开封市中心医院神经外科,开封475000

出　　处：《中国实用神经疾病杂志》2014年第14期31-32,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨颅脑损伤后低钠血症的有效治疗方案。方法选取我院收治的96例颅脑损伤后低钠血症患者作为研究对象,分为观察组(50例)和对照组(46例),对照组使用常规补充液体方式进行治疗,观察组则在症状出现早期进行高浓度氯化钠溶液治疗,观察两种方式的治疗效果。结果观察组血钠平均恢复时间比对照组短,差异有统计学意义(P<0.05);观察组血钠恢复正常水平37例,对照组25例,2组恢复率对比差异有统计学意义(P<0.05);观察组死亡3例,对照组死亡3例,2组病死率无差异(P>0.05)。结论加强对颅脑损伤患者血钠水平的监控,出现低钠血症时及时采取有效措施进行治疗,能够快速纠正患者低钠血症,改善预后。Objective To investigate the effective treatment programs of hyponatremia after craniocerebral injury.Methods 96 cases with hyponatremia after brain injury were chosen as the research object ,according to the random grouping ,patients were randomly divided into observation group （50 cases） and control group （46 cases） ,control group received the conventional methods of replenishing fluids ,the observation group received the treatment of high concentrations of sodium chloride solution in the early stage ,and the outcomes of two groups were compared. Results The recovery period of serum sodium of observa-tion group was shorter than that of control group ,the difference was statistically significant （P 〈0.05）;37 cases＇serum sodi-um level returned to normal in observation group ,while that of 25 cases returned to normal in control group ,the difference of recovery rate between two groups was statistically significant （P〈0.05）;3 patients died in observation group ,just like the control group ,no significant difference in mortality （P〉0.05）.Conclusion monitoring the sodium levels in patients with trau-matic brain injury should be paid more attention. once hyponatremia appeared ,taking effective measures timely can quickly cor-rect hyponatremia and improve patients＇prognosis.

关 键 词：低钠血症 颅脑损伤 氯化钠 

分 类 号：R651.15[医药卫生—外科学]