IU重型颅脑损伤患者亚低温疗法的应用和护理.doc

ICU重型颅脑损伤患者亚低温疗法的应用和护理 曾柳燕 广丙柳江县人民医院(重症医学科)广丙柳江545100 】 目的：交流亚低温疗法治疗ICU重型颅脑损伤患者的应用与护理方法，提高 护理水平。方法：回顾性分析2013年2月 2013年11月37例ICU重型颅脑损 伤患者亚低温治疗与护理。结果：37例患者应用亚低温疗法3 16d,平均疗程 (7 9plusmn;2 6) d, 32例患者颅内压降至正常范围，死亡5例，死亡率 为13 51%。患者平均住院时间(21 3plusmn;6 6) d；治疗期间无1例 患者出现相关并发症及皮肤损伤。随访3个月，恢复良好17例，占53 13%, 中残7例，重残4例，植物生存状态4例。结论：亚低温疗法是一种安全、有效 地治疗方法，可显著提高ICU重型颅脑损伤患者的预后，治疗期间的观察与护理 是确保治疗顺利完成的前提。 关键词】ICU;重型颅脑损伤；亚低温疗法；护理 ICU patients with severe head injury and the application of low temperature treatment and care ZENG Liuyang Guangxi liujiang river county peoples hospital intensive medicine guangxi liujiang 545100 Abstract】 Objective: application and nursing method of AC hypothermia therapy for the treatment of ICU in patients with severe craniocerebral injury, improve the level of nursing. Methods: retrospective analysis of 2013 February 2013 year in November 37 cases of patients with ICU mild hypothermia treatment of severe brain injury and nursing care. Results: 37 patients with mild hypothermia therapy for 3 16d, the mean duration of treatment (7 9 plusmn; 2 6) d, 32 cases of patients with intracranial pressure drop to the normal range, 5 cases died, the mortality rate was 13 51%. The average length of time (21 3 plusmn; 6 6) d; no related complications and skin injury occurred in 1 cases of patients during treatment. Follow up of 3 months, 17 cases of good recovery, accounted for 53 13%, moderate disability in 7 cases, severe disability in 4 cases, 4 cases of vegetative state. Conclusion: mild hypothermia therapy is a safe, effective treatment, can significantly improve the prognosis of ICU in patients with severe craniocerebral injury, observation and nursing during treatment is the precondition to ensure the successful completion of treatment. Key words] ICU; severe head injury; mild hypothermia therapy; nursing 】R746 1 】B 】1674 8999(2013)12 0369 01 采用物理或化学药物，有0的地将直肠温度维持在33°C 35°C的治疗称为 亚低温治疗。重型颅脑损伤患者受伤部位特殊，伤及中枢神经系统，患者常伴奋 不同程度的迷，颅内压升高等，随吋都冇生命危险。亚低温疗法的冇效性早己 得到临床的证实，笔者科室