亚低温护理联合常规护理用于重症颅脑外伤患者治疗效果的影响  

The Therapeutic Effect of Mild Hypothermia Nursing combined with Routine Nursing on Patients with Severe Craniocerebral Trauma Influence

作　　者：岳君 YUE Jun(Shenyang Jishuitan Hospital,Shenyang 110000,China)

机构地区：[1]沈阳积水潭医院,辽宁沈阳110000

出　　处：《中国医药指南》2020年第20期288-289,共2页Guide of China Medicine

摘　　要：目的分析亚低温护理联合常规护理用于重症颅脑外伤患者治疗效果的影响。方法选取2018年5月至2020年1月我院收治的重症颅脑外伤患者共计64例,随机分为对照组与干预组,各32例。其中,对照组实施常规护理;干预组在常规护理的基础上增加亚低温护理,对比两组患者的神经功能缺损评分、GOS评分与并发症发生率。结果护理前,两组的神经功能缺损评分、GOS评分相比,无差异(P>0.05);护理后,干预组的神经功能缺损评分、GOS评分依次为(23.57±0.64)分、(5.86±0.78)分,优于对照组(37.01±0.55)分、(3.98±0.75)分(P<0.05)。此外,干预组1例感染、0例下肢静脉血栓、0例褥疮,其并发症发生率为3.13%(1/32),远低于对照组3例感染、3例下肢静脉血栓、2例褥疮,其并发症发生率为25.00%(8/32)(P<0.05)。结论在重症颅脑外伤患者的治疗中,运用亚低温护理联合常规护理,可以显著降低患者的神经功能缺损评分及GOS评分,且能有效降低患者发生并发症的概率,建议临床推广。Objective To analyze the effect of mild hypothermia nursing combined with routine nursing on the treatment of patients with severe craniocerebral trauma.Methods A total of 64 patients with severe craniocerebral trauma admitted to our hospital from May 2018 to January 2020 were selected and randomly divided into control group and intervention group with 32 patients in each group.The control group received routine nursing.The intervention group increased mild hypothermia nursing on the basis of routine nursing,and compared the neurological deficit score,GOS score and complication rate of the two groups of patients.Results Before nursing,there was no difference in neurological deficit score and GOS score between the two groups(P>0.05).After nursing,the neurological deficit score and GOS score of the intervention group were(23.57±0.64)and(5.86±0.78)respectively,which were better than tho se of the control group(37.01±0.55)and(3.98±0.75)(P<0.05).In addition,1 case of infection,0 case of lower limb venous thrombosis and 0 cases of bedsore in the intervention group had a complication rate of 3.13%(1/32),far lower than that of 3 cases of infection,3 cases of lower limb venous thrombosis and 2 cases of bedsore in the control group,with a complication rate of 25.00%(8/32)(P<0.05).Conclusion In the treatment of patients with severe craniocerebral trauma,mild hypothermia nursing combined with routine nursing can significantly reduce the neurological deficit score and GOS score of patients,and can effectively reduce the probability of complications of patients.It is recommended to promote clinical application.

关 键 词：亚低温护理 常规护理 重症颅脑外伤 治疗效果 

分 类 号：R473.6[医药卫生—护理学]