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1、重度顱腦損傷患者ICU治療臨床觀察【摘要】目的：探究重度顱腦損傷患者ICU臨床治療的方法及效果。方法：隨機(jī)選取2010年1月-2013年1月在本院治療的重度顱腦損傷患者82例，隨機(jī)數(shù)字表法分成治療組與對照組，每組41例，其中對照組給予常規(guī)治療，包括營養(yǎng)支持、止血、采用脫水降顱壓，以及改善腦循環(huán)、糖皮質(zhì)激素與糾正水電解質(zhì)酸堿平衡、合理應(yīng)用抗生素等，而治療組在常規(guī)治療的基礎(chǔ)上，給予顱內(nèi)壓監(jiān)測、機(jī)械通氣、循壞支持及亞低溫治療等，對比分析治療前后兩組患者的臨床療效。結(jié)果：治療組41例患者治療良好23例，中度病殘、重度病殘及植物生存分別為8、6、3例，死亡1例,總有效率為75.6%,對照組41例患者治
2、療良好15例，中度病殘、重度病殘及植物生存分別為6、5、8例，死亡7例，總有效率為51.2%,兩組患者的總有效率比較差異冇統(tǒng)計(jì)學(xué)意義（P〈0.05）,治療組的效果明顯優(yōu)于對照組。結(jié)論：對于重度顱腦損傷患者來說，盡早診斷及治療，并在TCU內(nèi)綜合治療，可取得顯著的治療效果?！娟P(guān)鍵詞】重度顱腦損傷；ICU；臨床治療；觀察【Abstract]Objective：ToexplorethemethodandeffectofclinicaltreatmentofICUpatientswithseverecraniocerebralinjury.Method：82patientswithseverecran
3、iocerebralinjuryinourhospitalweremdomlyselectedfromJanuary2010toJanuary2013,andwereTandomlydividedintotreatmentgroupandcontrolgroup,41casesineachgroup.Thecontrolgroupwasgivenconventionaltreatment，ineludingnutritionalsupport,hemostatic,byloweringtheintracranialpressure,andimprovedcerebralcirculation
4、,glucocorticoidandcorrectwaterelectrolyteandacid-basebalance,reasonableuseofantibioticsandsoon,whilethetreatmentgrouponthebasisofconventionaltherapy,wasgiventheintracranialpressuremonitoring,mechanicalventilation,circulationsupportandmildhypothermiatreatment,theclinicalefficacyofthetwogroupsbeforea
5、ndaftertreatmentwerecomparativeanalyzed.Result：Thetreatmentgrouppatientsofgoodwere23cases,moderatedisability,severedisabilityandplantsurvivalwererespectively8,6and3cases,1casesdied,thetotaleffectiveratewas75.6%.Thecontrolgroup41patientstreatedwithgoodin15cases,moderatedisability,severedisabilityand
6、plantsurvivalwererespectively6,5and8cases,7casesdied,thetotaleffectiveratewas51.2%.Comparedthetotalefficiencyoftwogroups,thedifferencewasstatisticallysignificant(P<0.05),theeffectofthetreatmentgroupwassignificantlybetterthanthecontrolgroup.Conclusion:Forpatientswithseverecraniocerebralinjury,earlyd
7、iagnosisandtreatment,andthetreatmentofiniegratedwithintheICU,canbeachievedremarkablecurativeeffect.[Keywords]Severecraniocerebralinjury；TCU；Clinicaltreatment；ObservationFirst-author?saddress:Alxa.CentralHos
