資源描述:
《亞低溫治療重型顱腦損傷》由會(huì)員上傳分享,免費(fèi)在線(xiàn)閱讀,更多相關(guān)內(nèi)容在工程資料-天天文庫(kù)。
1、亞低溫治療重型顱腦損傷【摘要】目的:探討與分析重型顱腦損傷治療活動(dòng)中亞低溫治療方案的可行性及其臨床療效。方法:選擇來(lái)我院接受治療重型顱腦損傷患者56例作為研究對(duì)象(病例患者所選時(shí)間為2014年1月~2015年1月),由于這些患者之間無(wú)明顯性差異,因此,具有對(duì)比性意義,將這些患者進(jìn)行隨機(jī)分組,即觀察組與對(duì)照組(各28例)。通過(guò)觀察這些患者的腦溫得知,英范圍在32.5°C-35.0°C,直腸溫度范圍為32.0°C-37.0°Co本研究對(duì)觀察組患者給予亞低溫治療方案進(jìn)行干預(yù),而對(duì)對(duì)照組患者給予常規(guī)方案進(jìn)行干預(yù),通過(guò)對(duì)患者實(shí)時(shí)觀察其顱內(nèi)壓、血?dú)?、血乳酸、腦組織氧分壓、腦微循環(huán)血
2、流及腦組織溫度等三個(gè)月,以判斷與對(duì)比兩組患者的臨床療效。結(jié)果:在亞低溫治療方案背景下治療的觀察組,其臨床總有效率為95.0%,而在常規(guī)治療方案背景下的對(duì)照組患者,英臨床總有效率為75.0%,由此可見(jiàn),觀察組患者的臨床各項(xiàng)指標(biāo)情況明顯高于對(duì)照組患者,并且觀察組患者的臨床各項(xiàng)指標(biāo)情況優(yōu)越于對(duì)照組患者。結(jié)論:重型顱腦損傷臨床治療活動(dòng)中,采取亞低溫治療方法能夠有效地幫助患者緩解臨床癥狀而脫離危險(xiǎn),尤其該治療方案下其臨床各項(xiàng)指標(biāo)得以明顯改善,降低了患者的死殘率,由此提升了患者的生活質(zhì)量水平。【關(guān)鍵詞】:重型顱腦損傷亞低溫治療方案觀察組臨床療效[Abstract]objective
3、:ToinvestigateandanalyzethefeasibilityandclinicaleffectofthetreatmentofCentralAsiawithlowtemperatureinthetreatmentofseverecraniocerebralinjury.Method:Tochooseourhospitaltoaccepttreatmentof56casesofseverecraniocerebralinjurypatientsastheobjectofstudy(casesselectedtimefor2014January2015yea
4、rs1month),becausethereisnosignificantdiffereneebetweenthesepatients?Therefore,ithascomparativesigrdficance,thesepatientswererandomlydividedintotwogroups,thatistheobservationgroupandthecontrolgroup(28cases).Byobservingthebraintemperatureofthesepatients,therangeofthetemperatureat32.5~35。th
5、erectaltemperaturerangeis32"37.0.Thisstudyoftheobservationgroupwastreatedwithmildhypothermiatherapytointervene,andincontrolgroupweretreatedwithconventionalschemestointervenebyonthereal-timeobservationofpatientswiththeintracranialpressure,bloodgas,bloodlacticacid,braintissueoxygenpartialp
6、ressure,cerebralmicrocirculationbloodflowandbraintissuetemperatureetc?threemonths,tojudgmentandcomparedtwogroupsofpatientswithclinicalefficacy?Result:Inthetreatmentofmildhypothermiatreatmentunderthebackgroundintheobservationgroup,theclinicaltotalefficiencywas95.0%,andunderthebackgroundof
7、conventionaltherapycontrolgroupofpatients,theclinicaltotalefficiencywas75.0%,therefore,toobservetheclinicalindexesofpatientswassign訐icantlyhigherthanthatinthecontrolgroup,patients,andobservetheclinicalindexesofpatientsissuperiorthanthatofthecontrolgroup.Conclusion:Severec