亚低温治疗仪在颅脑外伤的应用分析(1)
[摘要] 目的 探讨亚低温治疗仪在颅脑外伤的应用价值。方法 方便选取2016年2月—2017年1月该院收治的颅脑外伤100例患者随机分为研究组(采取基础物理降温、药物降温联合亚低温治疗仪)和对照组(采取物理降温与药物降温)。 对比两组出血部位及出血量；治疗前后生命体征指标；患者出院时预后。结果 研究组和对照组出血部位及出血量比较差异无统计学意义(P>0.05)；研究组和对照组治疗前体温、脉搏、呼吸分别为[(38.26±1.25)℃、(115.36±6.35)次/min、(21.35±4.25)次/min]、[(38.25±1.31)℃、(116.27±7.15)次/min、(21.43±4.31)次/min]，指标比较差异无统计学意义(P>0.05)；两组治疗后研究组和对照组治疗前体温、脉搏、呼吸分别为[(36.44±0.54)℃、(73.62±5.81)次/min、(18.25±2.24)次/min]、[(37.86±0.78)℃、(89.67±6.14)次/min、(18.97±2.87)次/min]，指标比较差异有统计学意义(P<0.05)； 研究组和对照组患者出院时预后比较差异有统计学意义(P<0.05)。结论 在常规药物及物理降温基础上，给予颅脑外伤患者亚低温治疗仪治疗，可以改善患者预后，保证生命体征的平稳。
[关键词] 亚低温治疗仪；颅脑外伤；应用
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2017)09(b)-0046-03
[Abstract] Objective This paper tries to investigate the application value of mild hypothermia therapeutic equipment in craniocerebral trauma. Methods Convenient selection 100 cases of patients with craniocerebral trauma in this hospital from February 2016 to January 2017 were randomly divided into the study group (taking basic physical hypothermia， drug cooling combined with mild hypothermia therapeutic apparatus) and the control group (taking physical cooling and drug cooling).the bleeding sites and the amount of bleeding in the two groups；the vital signs of the two groups before and after treatment；the prognosis of the two groups at discharge were compared. Results There were no differences in the bleeding position and volume between the study group and the control group (P>0.05)； the body temperature， pulse， respiratory before treatment in the study group and the control group were[(38.26±1.25)℃，(115.36±6.35)times/min，(21.35±4.25)times/min] and (38.25±1.31)℃，(116.27±7.15)times/min，(21.43±4.31)times/min]， and the difference was not significant (P>0.05)； the body temperature， pulse and respiration after treatment in the study group and the control group were [(36.44±0.54)℃， (73.62±5.81)times/min，(18.25±2.24)times/min] and [(37.86±0.78)℃， (89.67±6.14)times/min， (18.97±2.87)times/min]， the difference was significant(P<0.05)； the prognosis between the study group and the control group was significantly different(P<0.05). Conclusion On the basis of routine drugs and physical cooling， the treatment of mild hypothermia in craniocerebral trauma patients can improve the prognosis of patients and ensure the stability of vital signs.
[Key words] Mild hypothermia therapy equipment； Craniocerebral trauma； Application
隨着现代工业发展及交通工具的发展，造成颅脑损伤的发生率不断增加。美国学者指出2010年颅脑外伤患者发生率较2001年增加12倍，其中以18～45岁患者最为多见[1]。我国人口基数大，颅脑损伤发病率高，根据目前流行病学调查显示，颅脑外伤患者发生情况达到308 万人/年。相比与其他脏器损伤，颅脑外伤发生后起病急，发展快，会继发脑水肿、积水、颅内高压、脑膨出及颅内感染等不良并发症，不利于患者的预后[2]。因此寻找合适的治疗方法，对改善颅脑外伤患者预后有重要意义。目前亚低温治疗仪被广泛运用于临床，众多研究显示亚低温治疗仪可迅速调节患者体温，改善脑内缺氧缺血状况。因此该文方便收集2016年2月—2017年1月该院颅脑外伤100例患者，分析亚低温治疗仪的使用价值，现报道如下。, 百拇医药(吕美玲 林翠云)
[关键词] 亚低温治疗仪；颅脑外伤；应用
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2017)09(b)-0046-03
[Abstract] Objective This paper tries to investigate the application value of mild hypothermia therapeutic equipment in craniocerebral trauma. Methods Convenient selection 100 cases of patients with craniocerebral trauma in this hospital from February 2016 to January 2017 were randomly divided into the study group (taking basic physical hypothermia， drug cooling combined with mild hypothermia therapeutic apparatus) and the control group (taking physical cooling and drug cooling).the bleeding sites and the amount of bleeding in the two groups；the vital signs of the two groups before and after treatment；the prognosis of the two groups at discharge were compared. Results There were no differences in the bleeding position and volume between the study group and the control group (P>0.05)； the body temperature， pulse， respiratory before treatment in the study group and the control group were[(38.26±1.25)℃，(115.36±6.35)times/min，(21.35±4.25)times/min] and (38.25±1.31)℃，(116.27±7.15)times/min，(21.43±4.31)times/min]， and the difference was not significant (P>0.05)； the body temperature， pulse and respiration after treatment in the study group and the control group were [(36.44±0.54)℃， (73.62±5.81)times/min，(18.25±2.24)times/min] and [(37.86±0.78)℃， (89.67±6.14)times/min， (18.97±2.87)times/min]， the difference was significant(P<0.05)； the prognosis between the study group and the control group was significantly different(P<0.05). Conclusion On the basis of routine drugs and physical cooling， the treatment of mild hypothermia in craniocerebral trauma patients can improve the prognosis of patients and ensure the stability of vital signs.
[Key words] Mild hypothermia therapy equipment； Craniocerebral trauma； Application
隨着现代工业发展及交通工具的发展，造成颅脑损伤的发生率不断增加。美国学者指出2010年颅脑外伤患者发生率较2001年增加12倍，其中以18～45岁患者最为多见[1]。我国人口基数大，颅脑损伤发病率高，根据目前流行病学调查显示，颅脑外伤患者发生情况达到308 万人/年。相比与其他脏器损伤，颅脑外伤发生后起病急，发展快，会继发脑水肿、积水、颅内高压、脑膨出及颅内感染等不良并发症，不利于患者的预后[2]。因此寻找合适的治疗方法，对改善颅脑外伤患者预后有重要意义。目前亚低温治疗仪被广泛运用于临床，众多研究显示亚低温治疗仪可迅速调节患者体温，改善脑内缺氧缺血状况。因此该文方便收集2016年2月—2017年1月该院颅脑外伤100例患者，分析亚低温治疗仪的使用价值，现报道如下。, 百拇医药(吕美玲 林翠云)