摘要
目的:探讨亚低温康复护理在神经外科危重患者中的应用效果。方法:将100例神经外科危重患者随机分为观察组和对照组各50例,两组均给予常规治疗和康复护理,观察组在对照组基础上实施亚低温疗法。观察两组治疗效果,康复治疗3个月后两组患者日常生活活动(ADL)能力和预后情况。结果:观察组有效率为74%、病死率为4%;对照组有效率为56%、病死率为18%,两组比较差异有统计学意义(P<0.05)。康复治疗3个月后观察组患者Barthel指数评分高于对照组(P<0.05);观察组患者恢复良好和轻残率高于对照组,植物生存率低于对照组(P<0.05)。结论:亚低温治疗可以显著促进患者神经功能恢复,在亚低温治疗中加强临床护理,能改善预后、提高患者生活质量。
Objective ： To explore the application and the effect of mild hypothermia therapy in rehabilitation nursing care for critically ill patients in the department of neurosurgery. Methods ; 100 critically ill patients in the department of neurosurgery were randomly divided into the observation group and the control group （50 cases in each group）. The patients in both groups were given conventional treatment and rehabilitation nursing care, and the mild hypothermia therapy was additionally implemented in the observation group. The therapeutic effect, ability of ADL and prognosis were observed after rehabilitation treatment for 3 months in the two groups. Results ： The effective rate was 74% and the fatality rate was 4% in the observation group ,56% and 18% in the control group （ P 〈 0.05） ; the scores of Barthel index were higher in the observation group than the control group after rehabilitation treatment for 3 months （ P 〈 0.05 ） ; the good recovery and mild disability rate was higher and the vegetable survival rate was lower in the observation group than the control group （ P 〈 0.05 ）. Conclusion：The mild hypothermia therapy can significantly promote the recovery of patient＇s neurological function and strengthening clinical nursing care in mild hypothermia therapy can improve the prognosis and life quality of the patients.
出处
《齐鲁护理杂志》
2013年第10期8-10,共3页
Journal of Qilu Nursing
关键词
神经外科
重症监护
亚低温疗法
护理
康复
Department of neurosurgery
Intensive care
Mild hypothermia therapy
Nursing
Rehabilitation
