亚低温护理对重症颅脑外伤患者神经功能损伤和血流动力学影响探究.docxVIP

亚低温护理对重症颅脑外伤患者神经功能 损伤和血流动力学影响探究 ［摘要］目的探讨亚低温护理对重症颅脑外伤患者 神经功能损伤及血流动力学影响。方法选择该院2010年8 月一2012年4月收治的重症颅脑损伤患者60例，随机分为 研究组和对照组各30例，对照组给予常规综合护理，研究 组在对照组的基础上给予亚低温护理，护理2周后，观察两 组神经功能损伤情况及血流动力学改善情况。结果护理后 研究组神经功能缺损评分优于对照组，差异有统计学意义； 护理后研究组血流动力学明显改善，与对照组比较，差异有 统计学意义。结论亚低温护理可以促进重症颅脑外伤患者 神经功能损伤恢复，降低血液粘度，改善血流动力学，值得 应用。 ［关键词］亚低温；护理；重症颅脑损伤；神经功能缺 损；血流动力学 ［中图分类号］R651. 15 ［文献标识码］A ［文章编号］ 1674-0742 (2013) 06 (c) -0037-02 Impact of Mild Hypothermia care on Nerve Function Damage and Hemodynamic of Patients with severe Traumatic Brain Injury HE Shihua Central south university in changsha city in hunan xiangya hospital, Changsha 410000, China [Abstract] Objective To investigate the impact of mild hypothermia care on nerve function damage and hemodynamic of patients with severe traumatic brain injury. Methods 60 cases of severe head injury patients in our hospital in August 2010 -2012 in April were randomly divided into the study group and the control group, 30 patients in the control group were given conventional care , study group was given mild hypothermia care on basis of control group? After two weeks care, nerve function and blood flow dynamics of two groups were observed. ResuIts neurological deficit scores of study group was better than the control group , the difference was statistically significant； mild hypothermia care significantly improved hemodynamic of study group , compared with the control group , the differe nee was st at is ti cally signif ica nt. Conclusion Mild hypothermia care can promote recovery of severe traumatic brain injury patients with neurological damage , reduce blood viscosity, improve hemodynamics, worthy of application. [Key words] Mild hypothermia ； Care ； Severe traumatic brain injury ； Neurological deficit ； Hemodynamic 近年来随着重型颅脑损伤发生率明显增加，其引起的中 青年致死率及致残率极高，神经功能损伤是主要原因，除了 直接外伤性神经功能损伤，脑水肿、高颅内压、脑组织缺氧、 感染及炎性因子都是造成神经功能及发行损伤主要原因 ,而目前临床对于这些继发性神经功能损伤并无特效的 治疗手段。为探讨亚低温护理对重症颅脑外伤患者神经功能 损伤及血流动力学影响，该研究对重型颅脑损伤患者行亚低 温护理，结果显示其对神经功能损伤及血流动力学有良好的 改善作用，效果较好，值得应用，现对该院2010年8月一2