急性颅脑创伤患者应用亚低温联合醒脑静治疗的疗效观察

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1、急性颅脑创伤患者应用亚低温联合醒脑静治疗的疗效观察［摘要］目的：探宄亚低温与醒脑静联合治疗急性颅脑创伤的临床治疗效果。方法：选取我院在2012年1月至2015年1月期间收治的急性颅脑创伤患者146例，釆用随机的方式将其分为对照组和观察组，每组73例患者，对照组给予常规治疗方法，观察组患者给予亚低温与醒脑静联合治疗，对比两组患者的治疗效果。结果：观察组患者的病死率明显低于对照组患者，差异明显，具有统计学意义(P<0.05),观察组患者恢复的良好率也明显高于对照组患者，有明显的差异性，具有统计学意

2、义(P<0.05),对比两组的Barthel指数，观察组患者明显优于对照组患者，具有明显差异性，具有统计学意义(P<0.05)o对比两组患者的并发症发生率，观察组患者并发症发生率明显低于对照组患者，具有统计学意义(P<0.05)。讨论：治疗急性颅脑创伤中应用亚低温联合醒脑静具有较好的治疗效果，可以降低患者的病死率，提升恢复率，降低并发症发生率，在临床上值得推广应用。［关键词］急性颅脑创伤亚低温醒脑静疗效D0l:10.3760/cma.j.issn.0376-2491.2016.04

3、.025作者单位：618300，四川广汉，广汉市人民医院ICU科ToExploretheTherapeuticEffectsofMildHypothermiaCombinedwithXingnaojingInjectionintheTreatmentofAcuteCraniocerebralTraumaGongHongchangAbstract:ObjectiveToexplorethetherapeuticeffectsofmildhypothermiacombinedwithXingnaojin

4、ginjectioninthetreatmentofacutecraniocerebraltrauma.Methods146patientswithacutecraniocerebraltraumaintheauthor’shospitalfromJanuary2012toJanuary2015wereselectedandrandomlydividedintothecontrolgroupandtheobservationgroup,73patientsineachgroup.Thec

5、ontrolgroupwasgivenregulartreatmentandtheobservationgroupwasgivenXingnaojinginjectioncombinedwithmildhypothermiatherapy.Comparethetherapeuticeffectoftwogroupsofpatients.ResultsThemortalityrateoftheobservationgroupofpatientsissignificantlylowerthantheco

6、ntrolgrouppatients,andthedifferenceisstatisticallysignificant(P<0.05);thegoodrecoverrateoftheobservationgroupofpatientsissignificantlyhigherthanthecontrolgroupofpatients,whichwasstatisticallydifferent(P<0.05);theBarthelindexoftheobservationgroupw

7、asbetterthanthecontrolgroup,whichisstatisticallydifferent(P<0.05);comparedthecomplicationsinthetwogroupsofpatients,theincidenceofcomplicationsinpatientsoftheobservationgroupwasobviouslylowerthanthecontrolgroupofpatients,withstatisticalsignificance(P

8、<0.05).ConclusionTheapplicationofmildhypothermiacombinedwithXingnaojinginjectioninthetreatmentofacutecraniocerebraltraumahasgoodtreatmenteffect.Itcanreducethemortalityofpatients,increasetherateofrecovery,reducetheincidenceofcomplicat