CAJ | 학술논문

目的：探讨颅脑损伤后低钠血症的有效治疗方案。方法选取我院收治的96例颅脑损伤后低钠血症患者作为研究对象，分为观察组（50例）和对照组（46例），对照组使用常规补充液体方式进行治疗，观察组则在症状出现早期进行高浓度氯化钠溶液治疗，观察两种方式的治疗效果。结果观察组血钠平均恢复时间比对照组短，差异有统计学意义（ P＜0.05）；观察组血钠恢复正常水平37例，对照组25例，2组恢复率对比差异有统计学意义（ P＜0.05）；观察组死亡3例，对照组死亡3例，2组病死率无差异（ P＞0.05）。结论加强对颅脑损伤患者血钠水平的监控，出现低钠血症时及时采取有效措施进行治疗，能够快速纠正患者低钠血症，改善预后。
목적：탐토로뇌손상후저납혈증적유효치료방안。방법선취아원수치적96례로뇌손상후저납혈증환자작위연구대상，분위관찰조（50례）화대조조（46례），대조조사용상규보충액체방식진행치료，관찰조칙재증상출현조기진행고농도록화납용액치료，관찰량충방식적치료효과。결과관찰조혈납평균회복시간비대조조단，차이유통계학의의（ P＜0.05）；관찰조혈납회복정상수평37례，대조조25례，2조회복솔대비차이유통계학의의（ P＜0.05）；관찰조사망3례，대조조사망3례，2조병사솔무차이（ P＞0.05）。결론가강대로뇌손상환자혈납수평적감공，출현저납혈증시급시채취유효조시진행치료，능구쾌속규정환자저납혈증，개선예후。
Objective To investigate the effective treatment programs of hyponatremia after craniocerebral injury.Methods 96 cases with hyponatremia after brain injury were chosen as the research object ,according to the random grouping ,patients were randomly divided into observation group (50 cases) and control group (46 cases) ,control group received the conventional methods of replenishing fluids ,the observation group received the treatment of high concentrations of sodium chloride solution in the early stage ,and the outcomes of two groups were compared. Results The recovery period of serum sodium of observa-tion group was shorter than that of control group ,the difference was statistically significant (P <0.05);37 cases'serum sodi-um level returned to normal in observation group ,while that of 25 cases returned to normal in control group ,the difference of recovery rate between two groups was statistically significant (P<0.05);3 patients died in observation group ,just like the control group ,no significant difference in mortality (P>0.05).Conclusion monitoring the sodium levels in patients with trau-matic brain injury should be paid more attention. once hyponatremia appeared ,taking effective measures timely can quickly cor-rect hyponatremia and improve patients'prognosis.