不同目标体温控制治疗重型颅脑外伤的护理研究  

Study on the nursing of severe craniocerebral trauma with different target body temperature control

作　　者：徐君兰 李书清[2] 申存珍 钱明兰 XU Jun-lan;LI Qing-shu;SHEN Cun-zhen;QIAN Ming-lan(Neurosurgery of the fourth people's hospital of taizhou,jiangsu taizhou 225300,China;Taizhou central hospital ICU,jiangsu taizhou 225300,China)

机构地区：[1]泰州市第四人民医院神经外科ICU,江苏泰州225300 [2]泰州市中医院ICU,江苏泰州225300

出　　处：《临床医药文献电子杂志》2017年第95期18618-18618,18620,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨不同目标体温控制对重型颅脑外伤患者预后及护理工作量的影响。方法选取我院2014年5月~2016年3月收治的重型颅脑外伤患者124例作为研究对象,随机分为A组:稳定体温控制组、B组:亚低温控制组,其中A组病例60例,B组病例64例,分别给予不同的体温控制:A组控制肛温为35~37℃,B组控制肛温33~35℃。观察两组患者体温控制相关并发症、28天存活率及平均护理工作量。结果B组寒颤、压疮及肺部感染发生率明显高于A组,差异有统计学意义(P<0.05);两组患者28天存活率无显著性差异(P>0.05);B组护理工作量(NAS)评分显著高于A组,差异有统计学意义(P<0.05);结论稳定体温控制疗法与亚低温治疗能取得相近的存活率,但稳定体温疗法可明显减少亚低温治疗产生的并发症;体温易于控制,操作简单,能减少护理工作量,提高护理质量。Objective To study the different target temperature control on the prognosis of patients with severe craniocerebral injury and the influence of the nursing workload.Methods A total of 124 patients with severe craniocerebral trauma from May 2014 to March 2016 were selected as the study subjects.were randomly divided into group A:stable temperature control group,group B:the low temperature in the control group,in which A group of 60 cases,64 cases of group B,were given different temperature control:the control group A anal temperature of 35 to 37℃,group B control anal temperature 33-35℃.Observed two groups of patients with complications related to temperature control,28 days survival rate and the average nursing workload.Results In group B chills,pressure sores,and incidence of pulmonary infection was obviously higher than group A(P<0.05);Two groups of patients survival 28 days there was no significant difference(P>0.05);B group of nursing workload(NAS)score was significantly higher than that of group A,statistically significant(P<0.05);Conclusion Stable temperature control therapy and mild hypothermia treatment can obtain similar survival rate,but steady temperature treatment can obviously reduce the complications of low temperature treatment;Easy temperature control,simple operation,can reduce the nursing workload and improve the quality of nursing.

关 键 词：重型颅脑外伤 体温控制疗法 并发症 护理工作量 

分 类 号：R473.6[医药卫生—护理学]