高渗氯化钠右旋右旋糖酐hsd结合ns静脉注射治疗心肺复苏后脑.docVIP

高渗氯化钠右旋糖酐（HSD）结合NS静脉注射治疗心肺复苏后脑损伤的临床护理研究 陈宁 （海南省人民医院秀英急诊科，海南海口 570311） 摘要：目的：研究使用HSD结合NS筋脉注射治疗治疗心肺复苏后脑损伤的有效护理方式。方法：选取2012年2月至2014年1月在我院接受治疗的50例患者，以抽签随机分组方式分为观察组与对照组，两组均接受常规护理，观察组在此基础上增加亚低温疗法、呼吸支持、测量中心静脉压、心理护理以及抗感染护理方式，对比两组护理效果。结果：观察组与对照组前3d的GCS评分差异无统计学意义（P＞0.05），而在5、8d时观察组的GCS评分明显高于对照组，差异有统计学意义（P＜0.05）。两组患者护理后MMSE、HDS评分明显高于护理前，差异有统计学意义，P＜0.05。另外，观察组护理后MMSE及HDS评分明显高于对照组，P＜0.05。观察组护理总满意率为96%,对照组护理总满意率为80%,两组比较差异有统计学意义，P＜0.05。结论：采取亚低温疗法、呼吸支持、测量中心静脉压、心理护理以及抗感染护理能够抑制心肺复苏患者的脑损伤状况，具有较高的临床推广价值。 关键词：高渗氯化钠右旋糖酐；NS静脉注射；心肺复苏；脑损伤 Hypertonic sodium chloride dextran (HSD) combined with NS intravenous treatment of cardiopulmonary resuscitation (CPR) head injury in clinical nursing research Abstract: Objective: To study the use of HSD combined with NS channels injection therapy in the treatment of cardiopulmonary resuscitation (CPR) effective nursing way back injury. Methods: Selection in February 2012 to January 2014 in our hospital for treatment of 50 cases, to draw grouping randomly divided into observation group and control group, both group accepted routine nursing care, observation group on the basis of increasing hypothermia therapy, respiratory support, measurement of central venous pressure, psychological nursing and anti-infection nursing mode, nursing effect compared to two groups. Results: the observation group and control group before the GCS score difference of 3 d no statistical significance (P 0.05), and at 5, 8 d GCS score of observation group was obviously higher than that of control group, the difference was statistically significant (P 0.05). Two groups of patient care MMSE, HDS score significantly higher nursing before and after difference was statistically significant, (P 0.05). In addition, the observation group after nursing MMSE and HDS score significantly higher than the control group, (P 0.05). Observation group of nursing overall satisfaction rate was 96%, control group care overall satisfaction rate was 80%, two groups compare difference was statistica