亚低温联合钙拮抗剂治疗丘脑下部损伤患者的观察  

Nursing care of patients with hypothalamus injury treated with mild hypothermia and calcium antagonist

作　　者：林宝丽[1] 李翠晴[1] 

机构地区：[1]中国人民解放军第175医院神经外科,福建漳州363000

出　　处：《南方护理学报》2003年第3期12-13,共2页Nanfang Journal of Nursing

摘　　要：目的 探讨亚低温联合Ca^++站抗剂治疗丘脑下部损伤患者的护理方法。方法 根据患者家属要求及其经济状况将患者随机分为亚低温治疗组20例,非亚低温组26例,比较两组患者的体温、心率、血压、呼吸、血氧饱和度、血糖的变化。结果 两组患者体温、心率、呼吸、血糖均有显著性差异(P<0.001或P<0.05),血压、血氧饱合度无显著性差异(P>0.05)说明亚低温组优于非亚低温组。结论 保持呼吸道通畅,加强口腔护理,加强胃肠道护理,准确记录出入量,掌握输在尼莫同的注意事项,注意复温并发症的护理,是亚低温联合Ca^++拮抗剂治疗丘脑下部损伤患者的有效护理措施。Objective To observe the nursing care of patients with hypothalamus injury treated with mild hypothermia and calcium antagonist. Methods 46 patients were assigned into hypothermia group (re =20) and non-hypothermia group (n=26) according to their economic states and reguirements by their families. The body temperature, heart rate, blood pressure, respiration, blood oxygen saturation and blood sugar were compared between the two groups. Results It was shown that there existed significant differences in terms of vital signs and blood sugar between the two groups (P< 0.001, P < 0.05), but no difference as regards blood oxygen saturation (P > 0.05). Conclusion The application of mild hypothermia and calcium antagonist to the nursing of patients with hypothalamus injure is subject to keeping air way unobstructed, reinforcing nursing of gastrointestinal tract, recording input and output of fluid accurately, paying attention to the transfusion of Nimtop as well as nursing of complications.

关 键 词：亚低温 钙拮抗剂 联合治疗 丘脑下部损伤 护理 体温 心率 血压 呼吸 血氧饱和度 颅脑损伤 

分 类 号：R651.15[医药卫生—外科学] R473.6[医药卫生—临床医学]