重型颅脑损伤患者早期进入ICU监护治疗的临床效果分析.docVIP

重型颅脑损伤患者早期进入ICU监护治疗的临床效果分析 　　【摘要】 目的：探讨分析重型颅脑损伤患者早期进入ICU监护治疗的临床效果。方法：选取笔者所在医院2011年2月-2014年3月收治的356例重型颅脑损伤患者作为研究对象，按照随机数字表法将其分为试验组和对照组，每组178例。对照组患者进入普通病房进行常规治疗，试验组患者直接进入ICU监护治疗。对两组患者的各观察指标进行对比分析。结果：试验组患者的人工气道建立、病情变化CT复查、高热症状缓解以及术前准备等各项治疗措施所需时间均明显短于对照组，格拉斯哥预后评分预后恶劣率明显低于对照组，预后良好率明显高于对照组，比较差异均有统计学意义（P0.05）。治疗3个月后，试验组患者的神经功能缺损评分（8.8±2.4）分明显低于对照组的（17.6±6.3）分，且病死率为1.1%（2/178），明显低于对照组的14.6%（26/178），比较差异均有统计学意义（P0.05）。结论：重型颅脑损伤患者给予早期ICU监护治疗的治疗效果显著，降低患者病死率，能对患者生活质量进行有效改善，值得临床推广应用。 　　【关键词】 重型颅脑损伤； 早期； ICU监护治疗； 临床效果 　　中图分类号 R651.15 文献标识码 B 文章编号 1674-6805（2015）17-0012-02 　　Clinical Efficacy Analysis of Early Stage ICU Monitoring and Treatment in Patients with Severe Craniocerebral Injury/XU Feng-yan.//Chinese and Foreign Medical Research，2015，13（17）：12-13 　　【Abstract】 Objective：To investigate and analyze the clinical efficacy analysis of early stage ICU monitoring and treatment in patients with severe craniocerebral injury.Method：356 patients with severe craniocerebral injury admitted to our hospital from February 2011 to March 2014 were selected as research objects，they were divided into the experimental group and the control group according to the random number table method，178 cases in each group.The control group was given conventional treatment in general ward，the experimental group was given ICU monitoring and treatment.The observed indexes of the two groups were compared and analyzed.Result：The time needed for various treatment measures of the experimental group，such as establishment of artificial airway，CT check condition changes，relieving the symptoms of fever and preoperative preparation，which were significantly shorter than the control group，the bad prognosis rate of GOS score in the experimental group was significantly lower than the control group，the good prognosis rate was significantly higher than the control group，the differences were statistically significant（P0.05）.After 3 months of treatment，the MESSS of the experimental group was （8.8±2.4）scores，whic