控制性低温在颅脑损伤患者中的效果评价
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摘要
目的探讨控制性低温在颅脑损伤患者中的效果。方法选择2016年3月—2018年1月80例颅脑损伤患者,随机分组。对照组选择常规护理,观察组选择控制性低温护理。分析血压水平、血糖水平、医嘱执行次数、体温监测所需时间;护理前后患者睡眠质量水平;并发症。结果护理前两组睡眠质量水平相似(P> 0.05);护理后观察组睡眠质量水平优于对照组(P <0.05)。观察组血压水平、血糖水平、医嘱执行次数、体温监测所需时间优于对照组(P <0.05)。观察组并发症发生率是3例(7.50%),低于对照组并发症发生率10例(25.00%),差异有统计学意义(P <0.05)。结论颅脑损伤患者实施控制性低温护理可获得较好效果。
Objective To investigate the effect of controlled hypothermia in patients with craniocerebral injury. Methods Eighty patients with craniocerebral injury from March 2016 to January 2018 were randomly assigned. The control group chose routine care and the observation group chose controlled cryotherapy. The blood pressure levels, blood glucose levels, number of doctor's orders, time required for body temperature monitoring; quality of life before and after care; complications of two groups were compared. Results The quality of life of the two groups before treatment was similar(P > 0.05). The quality of life of the observation group after treatment was better than that of the control group(P < 0.05).The blood pressure level, blood glucose level, number of doctor's orders, and time required for body temperature monitoring in the observation group were better than those in the control group(P < 0.05). The incidence of complications in the observation group was 3 cases(7.50%), which was lower than that in the control group(25.00%)(P < 0.05). Conclusion Controlled cryotherapy in patients with craniocerebral injury can achieve better results.
Objective To investigate the effect of controlled hypothermia in patients with craniocerebral injury. Methods Eighty patients with craniocerebral injury from March 2016 to January 2018 were randomly assigned. The control group chose routine care and the observation group chose controlled cryotherapy. The blood pressure levels, blood glucose levels, number of doctor's orders, time required for body temperature monitoring; quality of life before and after care; complications of two groups were compared. Results The quality of life of the two groups before treatment was similar(P > 0.05). The quality of life of the observation group after treatment was better than that of the control group(P < 0.05).The blood pressure level, blood glucose level, number of doctor's orders, and time required for body temperature monitoring in the observation group were better than those in the control group(P < 0.05). The incidence of complications in the observation group was 3 cases(7.50%), which was lower than that in the control group(25.00%)(P < 0.05). Conclusion Controlled cryotherapy in patients with craniocerebral injury can achieve better results.
引文
[1]张媛媛.纳洛酮联合亚低温治疗重症颅脑损伤的疗效及安全性观察[J].北方药学,2018,15(12):156-157.
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[10]陈钢,陈莉,徐波.一种低温模式下控制性减压手术对重型颅脑损伤患者预后的影响[J].神经损伤与功能重建,2016,11(3):264-265.
[11]郝珂.控制性低温在颅脑损伤患者护理中的应用探讨[J].中国民康医学,2016,28(4):118-119.
[12]路桃影,李艳,夏萍,等.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学,2014,4(3):260-263.
[2]施王琴,杜余芬.亚低温治疗在重型颅脑损伤中的应用及护理体会[J].中外医学研究,2018,16(32):75-76.
[3]潘宏平,杨金星,邵国升,等.标准外伤大骨瓣开颅术联合局部亚低温治疗重型颅脑损伤的临床研究[J].临床医学工程,2018,25(11):1505-1506.
[4]闵怀伍,权天龙,张浩,等.亚低温治疗不同目标设定对颅脑损伤患者神经功能的影响[J].临床医学研究与实践,2018,3(32):72-73.
[5]曹方军,胡容,靖雄飞,等.亚低温对重症颅脑损伤患者术后氧代谢、脑血流及颅内压的影响[J].现代医药卫生,2018,34(20):3195-3197.
[6]杨霞.亚低温治疗在重症颅脑损伤患者中的护理体会分析[J].中国医药指南,2018,16(29):229.
[7]朱彬,陈伟,徐凤科,等.亚低温联合手术治疗对重型颅脑损伤患者血清ET-1、Ang-1、G-CSF及预后的影响[J].现代生物医学进展,2018,18(18):3502-3505.
[8]冯素芹.亚低温治疗重型颅脑损伤30例护理体会[J].河南外科学杂志,2018,24(5):177-178.
[9]刘静,易波,李保林.ICU重型颅脑损伤患者行血管内控制性降温治疗的疗效分析[J].中华神经创伤外科电子杂志,2018,4(1):9-12.
[10]陈钢,陈莉,徐波.一种低温模式下控制性减压手术对重型颅脑损伤患者预后的影响[J].神经损伤与功能重建,2016,11(3):264-265.
[11]郝珂.控制性低温在颅脑损伤患者护理中的应用探讨[J].中国民康医学,2016,28(4):118-119.
[12]路桃影,李艳,夏萍,等.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学,2014,4(3):260-263.