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亚低温治疗大面积脑梗死并发症15例护理体会

Experience of nursing care in the treatment of 15 patients with complications of extensive cerebral infarction by mild hypothermia

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【作者】 李兰翠王晓玲王世民

【Author】 Li Lan-cui, Wang Xiao-Ling, Wang Shi-min(Department of Brain of Tianjin City, Tianjin 300060, China)

【机构】 天津市脑系科中心医院·环湖医院天津市脑系科中心医院·环湖医院 天津市300060天津市300060

【摘要】 目的:探讨亚低温治疗大面积脑梗死并发症的护理方法。方法:将30例大面积脑梗死患者随机分为治疗组和对照组各15例,治疗组在常规治疗的基础上加用亚低温治疗,对照组为常规治疗。结果:两组于入院治疗治月后神经功能缺损评分进行比较,治疗组显著低于对照组(P<0.05)。并发肺感染治疗组发生率为53.3%(8/15),对照组发生率为40%(6/15),上消化道出血,治疗组6例,对照组4例,脑疝治疗组2例,对照组6例。结论:在常规治疗基础上加用亚低温治疗精心护理,可降低大面积脑梗死并发症患者的病死率,提高治疗效果。

【Abstract】 Objective: To explore the methods of nursing care in the treatment of patients with complications of extensive cerebral infarction by mild hypothermia. Methods: Thirty patients with extensive cerebral infarction were divided into treatment group (n=15) and control group (n=30) at random, and additional treatment of mild hypothermia was given to the patients on the basis of routine treatment. Results: The scores of defect of nervous function was obviously lower in the treatment group than that in the control group according to the comparison between the two groups after the treatment (P<0.05). The incidence rate of the complication of lung infection was 53.3% (8/15) in the treatment group and 40% (6/15) in the control group. Hemorrhage of upper digestive tract occurred in 6 patients in the treatment group and in 4 patients in the control group, cerebral hernia in 2 patients in the treatment group and 6 patients in the control group. Conclusion: The case fatality rate of patients with complications of extensive cerebral infarction can be decreased by the treatment of mild hypothermia on the basis of routine treatment.

  • 【文献出处】 齐鲁护理杂志 ,Journal of Qilu Nursing , 编辑部邮箱 ,2007年01期
  • 【分类号】R473.74
  • 【被引频次】4
  • 【下载频次】79
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