CAJ | 학술논문

目的：探讨亚低温冬眠疗法及护理对重型颅脑损伤患者的临床及护理疗效。方法将收治住院的108例重型颅脑损伤患者随机分为观察组和对照组各54例，两组患者在给予常规脱水、止血、抗感染、降低颅内压等治疗的同时，对照组再给予局部降温疗法，观察组再于伤后24 h内实施全身降温和持续静滴冬眠1号治疗及综合护理，分析两组疗效情况。结果与对照组比较，观察组中残率、重残率和死亡率明显低于对照组，恢复良好率显著提高，差异均有统计学意义（P ＜0．05），两组并发症发生率比较差异无统计学意义（ P ＞0．05）。结论亚低温冬眠治疗具有肯定的脑保护作用，配合综合护理，严格控制降温和复温，能迅速改善重型颅脑损伤患者临床症状，是安全有效的治疗方法，可降低致残率和病死率，改善其预后。
목적：탐토아저온동면요법급호리대중형로뇌손상환자적림상급호리료효。방법장수치주원적108례중형로뇌손상환자수궤분위관찰조화대조조각54례，량조환자재급여상규탈수、지혈、항감염、강저로내압등치료적동시，대조조재급여국부강온요법，관찰조재우상후24 h내실시전신강온화지속정적동면1호치료급종합호리，분석량조료효정황。결과여대조조비교，관찰조중잔솔、중잔솔화사망솔명현저우대조조，회복량호솔현저제고，차이균유통계학의의（P ＜0．05），량조병발증발생솔비교차이무통계학의의（ P ＞0．05）。결론아저온동면치료구유긍정적뇌보호작용，배합종합호리，엄격공제강온화복온，능신속개선중형로뇌손상환자림상증상，시안전유효적치료방법，가강저치잔솔화병사솔，개선기예후。
Objective To explore the clinical effect of mild hypothermia hibernation therapy and nursing on severe craniocerebral injury .Methods 108 cases of severe craniocerebral injury were randomly divided into the observation group and the control group with 54 cases in each group ,and both groups were given the treatment of conventional dehydration , haemostasis , anti‐infection and lowering pressure treatment ,with the control group given local cooling therapy and the observation group given overall cooling therapy ,continuous mild hypothermia hibernation ther‐ <br> apy within 24 hours after injury and comprehensive nursing .The curative effects in both groups were com‐pared .Results The disability rate ,the severe disability rate and the mortality rate in the observation group were significantly lower than those in the control group ,and the rate of good recovery was more improved in the observation group than in the control group ( P < 0 .05) .No significant differences in the occur‐rence of complications between the two groups was found( P > 0 .05) .Conclusion Mild hypothermia hi‐bernation therapy can produce good curative effect on severe craniocerebral injury .