摘要
为探讨重型颅脑损伤病人早期机械通气的治疗效果及其护理 ,将 98例颅脑损伤病人 (GCS评分 3分～ 8分 )随机分成两组 ,A组 (4 0例 )入院时即刻使用机械通气 ;B组 (5 8例 )则在治疗过程中出现呼吸功能衰竭时才使用机械通气 ,监测机械通气前后呼吸指标 (PaO2 、R、PaCO2 、SaO2 )变化及两组预后情况。结果 :B组有 48例 (82 .8% )出现呼吸功能衰竭并使用呼吸机 ;两组机械通气前后呼吸监测指标差异有统计学意义 (P <0 .0 1) ;按GOS预后判断 ,A组预后优于B组 (P <0 .0 5 )。结论 :重型颅脑损伤后呼吸功能衰竭发生率高 ;早期机械通气能较早改善重型颅脑损伤病人的缺氧症状。正确合理地应用呼吸机 ,并给予针对性的护理 ,有助于纠正损伤后低氧血症 ,减少并发症 。
To probe into both the effect and nursing care in acute severe craniocerebral injury patients treated by early stage ventilation, 98 cases (GCS 3～8) were randomly divided into two groups. 40 cases in group A gave mechanical ventilation right atter their admission.48 cases among 58 cases in group B received ventilation when they manifested of respiratory function failure. Respiratory indexes (PaO 2, R, PaCO 2, SaO 2) changes and prognosis of the patients were monitored. Results: there were statistical differences between before and after the ventilation of the two groups in terms of respiratory indexes that had monitored (P<0.01). According to the GOS prognosis evaluation, prognosis of patients in group A were superior to that of patients in group B (P<0.05). Conclusion: there is a high incidence of respiratory function failure in patients with severe craniocerebral injury. Early stage mechanical ventilation may assure ventilation in severe craniocerebral injury patients. Correct and reasonable use of ventilator, and corresponding care be given may do well to correct post-injury hypoxemia, hypercapnia of the patients. It can also decrease complications and enhance the life quality of the patients.
出处
《护理研究》
2002年第3期134-136,共3页
Chinese Nursing Research
关键词
颅脑损伤
机械通气
低氧血症
Craniocerebral injury
Mechanical ventilation
Hypoxemia
