高渗盐水在急诊科抢救颅脑损伤所致急性颅内高压患者首次降颅压中的临床疗效  

Clinical effect of Hypertonic saline in the first reducing the intracranial pressure in patients with acute intracranial hypertension induced by emergency rescue craniocerebral injury

作　　者：梁桂芳[1] 纪汉杰 庞捷[1] 

机构地区：[1]广东省中山市中医院急诊科,广东中山528400

出　　处：《中国当代医药》2015年第8期145-147,共3页China Modern Medicine

摘　　要：目的分析高渗盐水在抢救颅脑损伤所致急性颅内高压患者首次降颅压中的临床疗效。方法将本院急诊科2012年2月-2014年2月收治的80例急性颅内高压患者为研究对象,按照随机对照法分为对照组和观察组,每组40例。对照组给予甘露醇进行急救处理配合基础护理,观察组给予高渗盐水联合综合急救护理。记录两组的抢救时间、住院时间,抢救有效率及并发症发生率。结果观察组抢救时间为（33.1±3.4）min,住院时间为（28.6±3.6）d,短于对照组的（61.3±6.1）d和（43.4±6.3）d;出血量为（168.7±22.1）ml,明显少于对照组的（249.9±19.6）ml,两组间差异有统计学意义（P〈0.05）。观察组并发症发生率为15.0%,明显低于对照组的55.0%;抢救成功率为97.5%,显著高于对照组的75.0%,两组间差异有统计学意义（P〈0.05）。结论在颅脑损伤所致急性颅内高压患者首次降颅压中采用高渗盐水联合综合急救护理方案,可明显优化患者的抢救效果,降低术后并发症发生率,临床上值得推广。Objective To analyze the clinical effect of Hypertonic saline in the first reducing the intracranial pressure in patients with acute intracranial hypertension induced by emergency rescue craniocerebral injury. Methods 80 pa- tients with acute intracranial hypertension in our hospital from February 2012 to February 2014 were selected,and were randomly divided into control group and observation group,40 cases in ecaeh group.Mannitol with basic nursing was taken to control group,hypertonic saline with integrated emergency nursing was taken to observation group.The rescue time and hospitalization time,the rescue efficiency and incidence of complications between the two groups was record. Results In observation group,the rescue time was （33.1±3.4） min,the hospitalization time was （28.6±3.6） d,was shorter than （61.3±6.1） d and （43.4±6.3） d of the control group,the amount of bleeding was （168.7±22.1） ml,was less than （249.9± 19.6） ml of the control group ,the difference was significant （P〈0.05）.The incidence of complications of observation group was 15.0%,lower than 55.0% of the control group,and the success rate of rescue was 97.5%,higher than 75.0% of the control group,the difference was significant （P〈0.05）. Conclusion Hypertonic saline comprehensive first-aid treat- ment scheme on patients with acute intraeranial hypertension induced by craniocerebral injury for first intraeranial pressure treatment can significantly optimize the patient＇s rescue effect,reduce the incidence of postoperative complica- tions,is worthy of promotion.

关 键 词：颅脑损伤 高渗盐水 甘露醇 急救 护理 

分 类 号：R743[医药卫生—神经病学与精神病学]