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重症脑外伤液体疗法的改进与护理研究 被引量:15

Improvement and nursing research on fluid therapy for severe brain injuries
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摘要 目的探讨重症脑外伤液体疗法的改进与护理配合。方法选取在本院进行治疗的重症脑外伤患者86例,随机分为对照组和观察组。对照组患者采取传统液体治疗护理,观察组患者采取改进后的液体治疗护理,对治疗护理后2组患者的临床疗效、并发症和死亡率进行对比分析。结果观察组治疗总有效率明显高于对照组,死亡率明显低于对照组,差异均有统计学意义(P<0.05);观察组中并发电解质紊乱和急性肾功能不全等并发症的比例明显低于对照组(P<0.05),但2组其他并发症发生率无显著差异(P>0.05)。结论改进液体疗法治疗重症脑外伤患者临床效果明显,可明显改善电解质紊乱、急性肾功能不全等并发症症状,降低患者的死亡率,值得临床推广。 Objective To study the improvement and nursing research on fluid therapy for severe brain injuries.Methods Eighty-six patients with severe brain injury in our hospital were randomly divided into control group and observation group.The control group was given traditional liquid treatment,and the observation group was given improved liquid treatment.Clinical curative effect,complications and mortality in the two groups after treatment and nursing were comparatively analyzed.Results The total curative efficacy of the observation group were significantly higher than that of the control group,and mortality was lower,the differences being statistically significant (P< 0.05).The complication rate of electrolyte disorders and acute renal insufficiency was significantly lower in the observation group than in the control group (P < 0.05),but the two groups showed no significant difference in terms of other complications rate (P >0.05).Concision The clinical effect of improved fluid therapy for severe brain injuries is obvious,and it can markedly better the incidence of electrolyte disorder,acute renal insufficiency and decrease death rate.It is worthy of clinical practice.
作者 雷玉珠
出处 《实用临床医药杂志》 CAS 2013年第16期156-157,176,共3页 Journal of Clinical Medicine in Practice
关键词 重症脑外伤 液体疗法 护理 severe traumatic brain injury fluid therapy nursing
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