中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
8期
900-902
,共3页
脑出血%局部亚低温%高压氧%颅内压
腦齣血%跼部亞低溫%高壓氧%顱內壓
뇌출혈%국부아저온%고압양%로내압
Cerebral hemorrhage%Local mild hyperthermia%Hyperbaric oxygen%ICP
目的 探讨脑出血术后在局部亚低温治疗的基础上联合应用高压氧治疗的效果及对患者预后的影响.方法 选择60例脑出血术后患者随机分为治疗组和对照组各30例;两组均接受脱水、降低颅内压、营养脑神经、控制血压等常规综合治疗,对照组在此基础上应用脑部局部亚低温治疗,治疗组在此基础上行局部亚低温联合高压氧治疗.观察两组患者入出院时格拉斯哥昏迷量表(GCS)评分、术后1周颅内压(ICP)、血氧饱和度以及治疗后6个月格拉斯哥结局量表(GOS)评定预后的情况,比较两组临床疗效.结果 治疗组患者ICP显著低于对照组(P<0.01),GCS评分明显优于对照组(P<0.01),治疗组GOS分级明显优于对照组(P<0.01).结论 在局部亚低温治疗的基础上联合使用高压氧能有效地控制脑出血患者的病情,改善预后,提高生活质量.
目的 探討腦齣血術後在跼部亞低溫治療的基礎上聯閤應用高壓氧治療的效果及對患者預後的影響.方法 選擇60例腦齣血術後患者隨機分為治療組和對照組各30例;兩組均接受脫水、降低顱內壓、營養腦神經、控製血壓等常規綜閤治療,對照組在此基礎上應用腦部跼部亞低溫治療,治療組在此基礎上行跼部亞低溫聯閤高壓氧治療.觀察兩組患者入齣院時格拉斯哥昏迷量錶(GCS)評分、術後1週顱內壓(ICP)、血氧飽和度以及治療後6箇月格拉斯哥結跼量錶(GOS)評定預後的情況,比較兩組臨床療效.結果 治療組患者ICP顯著低于對照組(P<0.01),GCS評分明顯優于對照組(P<0.01),治療組GOS分級明顯優于對照組(P<0.01).結論 在跼部亞低溫治療的基礎上聯閤使用高壓氧能有效地控製腦齣血患者的病情,改善預後,提高生活質量.
목적 탐토뇌출혈술후재국부아저온치료적기출상연합응용고압양치료적효과급대환자예후적영향.방법 선택60례뇌출혈술후환자수궤분위치료조화대조조각30례;량조균접수탈수、강저로내압、영양뇌신경、공제혈압등상규종합치료,대조조재차기출상응용뇌부국부아저온치료,치료조재차기출상행국부아저온연합고압양치료.관찰량조환자입출원시격랍사가혼미량표(GCS)평분、술후1주로내압(ICP)、혈양포화도이급치료후6개월격랍사가결국량표(GOS)평정예후적정황,비교량조림상료효.결과 치료조환자ICP현저저우대조조(P<0.01),GCS평분명현우우대조조(P<0.01),치료조GOS분급명현우우대조조(P<0.01).결론 재국부아저온치료적기출상연합사용고압양능유효지공제뇌출혈환자적병정,개선예후,제고생활질량.
Objective To investigate the clinical efficacy and prognosis of hyperbaric oxygen in combination with local mild hypothermia in treatment of post cerebral hemorrhage surgery.Methods 60 patients with post cerebral hemorrhage surgery were randomly divided into two groups.the therapeutic group(30 cases) and the control group(30 cases).Both of the two groups received regular complex treatment:dehydration,decreased intracranial pressure.nutrition of cranial nerve,control of blood pressure.Based on this treatment,the therapeutic group was also given with hyperbaric oxygenation.The control group was only taken local mild hypothermia treatment.The ICP at one-week after surgery,the SaO2 and the GCS were recorded in two groups when admission and discharge the hospital.Results ICP in the therapeutic group wss lower than the control group(P<0.01),and SaO2 increased significantly(P<0.01),GCS and GOS scores were superior to the control group(P<0.01).Conclusions The treatment of local mild hyperthennia in combination with hyperbaric oxygenation can effectively control the disease in patients with cerebral hemorrhage.The prognosis and the quality of life also be improved.
