急性颅脑创伤患者应用亚低温联合醒脑静治疗的疗效观察.docVIP

急性颅脑创伤患者应用亚低温联合醒脑静治疗的疗效观察 ［摘 要］目的探究亚低温与醒脑静联合治疗急性颅脑创伤的临床治疗效果。方 法选取我院在2012年1月至2015年1月期间收治的急性颅脑创伤患者146 例，采用随机的方式将其分为对照组和观察组，每组73例患者，对照组给予常 规治疗方法，观察组患者给予亚低温与醒脑静联合治疗，对比两组患者的治疗效 果。结果观察组患者的病死率明显低于对照组患者，差异明显，具有统计学意 义(Pt;0.05),观察组患者恢复的良好率也明显高于对照组患者，有明显的差 异性，具有统计学意义(Plt;0.05),对比两组的Barthel指数，观察组患者明显 优于对照组患者，具有明显差异性，具有统计学意义(Plt;0.05)o对比两组患 者的并发症发牛率，观察组患者并发症发牛率明显低于对照组患者，具有统计学 意义(Pt;0.05)o讨论治疗急性颅脑创伤中应用亚低温联合醒脑静具有较好 的治疗效果，可以降低患者的病死率，提升恢复率，降低并发症发生率，在临床 上值得推广应用。 ［关键词］急性颅脑创伤 亚低温 醒脑静 疗效 D0l:10.3760/cma.j.issn.0376-2491.2016.04.025 单位618300,四川广汉，广汉市人民医院ICU科 To Explore the Therapeutic Effects of Mild Hypothermia Combined with Xingnaojing Injection in the Treatment of Acute Craniocerebral Trauma Gong Hongchang Abstract: Objective To explore the therapeutic effects of mild hypothermia combined with Xingnaojing injection in the treatment of acute craniocerebral trauma. Methods 146 patients with acute eraniocerebral trauma in the authorrsquo;s hospital from January 2012 to January 2015 were selected and randomly divided into the control group and the observation group, 73 patients in each group. The control group was given regular treatment and the observation group was given Xingnaojing injection combined with mild hypothermia therapy. Compare the therapeutic effect of two groups of patients. Results The mortality rate of the observation group of patients is significantly lower tha n the control group patie nts, and the d iff ere nee is statistically significant (P lt; 0.05); the good recover rate of the observation group of patients is significantly higher than the control group of patients, which was statistically d iff ere nt (P lt; 0.05); the Barthel in dex of the observati on group was better tha n the control group, which is statistically d iff ere nt (P lt; 0.05); compared the complications in the two groups of patients, the incidenee of complications in patients of the observation group was obviously lower than the control group of patients, with statistical significanee (P lt; 0.0