摘要
目的探讨早期头部降温对重型颅脑损伤患者意识状态的影响。方法将120例重型颅脑损伤患者随机分为实验组和对照组,每组各60例。对照组术后高热时实施常规药物和物理降温,治疗6h后高热不退时给予头部降温,直至体温<37.5℃时停止降温;实验组在常规治疗的基础上6h内对患者实施头部降温,当患者体温≤37℃,无反复发热持续72h后终止头部降温。比较两组患者的降温效果及意识状态好转的差异。结果实验组患者降温效果优于对照组,意识状态好转率高于对照组(均P<0.01)。结论对重型颅脑损伤患者实施早期头部降温,能有效降低体温,尽快恢复患者的意识,对提高患者抢救的成功率具有重要的意义。
Objective To explore the effect of early stage head temperature reduction on the consciousness status of severe craniocerebral injury patients. Methods 1213 patients with heave type skull injured were evenly divided into the experiment group and the control group at random. In the control group, the temperate was reduced by administration of medication and physical temperature reduction method. The reduction of head temperature was conducted in 6 h and ceased when the temperature reached at 37.5~C. In the experiment group, the temperature reduction was performed within 6 h apart from routine treatment and ceased without relapse high fever in 72 h. The two groups were compared concerning temperature reducing effect and consciousness status. Results The temperature reduction efficiency of the experiment group （85.48%） was significantly higher that that of the control group （62.07%） （P 〈 0.01）. Conclusions The early temperature reduction for the patients with severe skull injure may effectively reduce the body temperature and help them with resumption of consciousness. It is important for enhancing the rescue rate.
出处
《现代临床护理》
2011年第12期41-42,49,共3页
Modern Clinical Nursing
关键词
颅脑损伤
中枢性高热
物理降温
意识
护理
craniocerebral injury
central high fever
physical reduction of temperature
consciousness
nursing
