摘要
目的探讨早期过度换气治疗重型脑外伤的效果及护理措施。方法将 72例重型脑外伤病人随机分为对照组和观察组各 36例。对照组采用常规治疗、护理 ;观察组则在常规治疗的基础上 ,早期应用呼吸机过度换气。结果观察组过度换气后 ,PaO2 为 (112 70± 7 2 0 )mmHg、PaCO2 (31 90± 2 6 0 )mmHg ,与治疗前 [PaO2(81 5 0± 8 70 )mmHg、PaCO2 (37 6 0± 3 70 )mmHg]比较 ,差异有显著性意义 (P <0 .0 1)。观察组存活时间[(14 7 4 0± 39 6 0 )h]比对照组 [(118 0 1± 30 90 )h]延长 (P <0 .0 1)。结论过度换气协同常规的综合治疗、护理能延长GCS≤ 5分者的生存时间。过度换气中加强呼吸道的管理。
Objective To investigate the therapeutic effects of early overventilation treating severe brain trauma and the nursing measures. Methods Seventy two cases of severe brain trauma were randomly divided into observation group and control group equally. The control group and observation group received routine treatment and nursing care, but the observation group was also subject to early overventilation treatment. Results After overventilation in observation group, PaO 2 was (112.70± 7.20 ) mmHg and PaCO 2 was (31.90±2.60) mmHg, significantly different from those before treatment \[PaO 2 (81.50±8.70) mmHg, PaCO 2 (37.60±3.70) mmHg, P < 0.01 \]. The survival time in observation group \[(147.40±39.60) h\] was significantly longer than in control group \[(118.01±30.90) h\] ( P <0.01). Conclusion Overventilation plus routine treatment and nursing care could prolong the survival time of the patients with GCS≤5. The treatment of the respiratory tract and adjustment of the parameters for respiratory machine could make the overventilation success.
关键词
颅脑损伤
过度换气
护理
craniocerebral trauma
overventilation
nursing care
