亚低温及体位护理对重型颅脑损伤患儿意识恢复及康复的影响

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1、亚低温及体位护理对重型颅脑损伤患儿意识恢复及康复的影响（商丘市第一人民医院儿童重症监护室河南商丘476100）［摘要］目的:探讨亚低温及体位护理对重型颅脑损伤患儿意识恢复及康复的影响。方法:将2015年3月一2016年3月期间商丘市第一人民医院儿童重症监护室收治的60例重型颅脑损伤患儿作为研究对象。随机分为两组，均30例。对照组采取常规护理，观察组给予亚低温及体位护理，比较两组患儿意识恢复及康复情况。结果:观察组意识恢复时间较对照组明显缩短，差异显著（P<0.05）；观察组医院获得性肺炎及抽搐发作率明显低于对照组，差

2、异显著（P<0.05）;观察组抢救时间及住院时间均明显低于对照组，差异显著（P<0.05）。结论:重型颅脑损伤患儿通过亚低温及体位护理后临床效果明显，有效促进患儿意识恢复，缩短抢救及住院时间，降低并发症发生，提高临床效果，对患儿预后及生存质量的改善具有重要意义。［关键词］亚低温；体位护理；重型颅脑损伤；意识恢复；康复EffectsofMildHypothermiaandPosturalNursingonConsciousnessRecoveryandRehabilitationinChildrenwithSevere

3、CraniocerebralInjuryLIMeng-li（Children'sIntensiveCareUnit,ShangqiuFirstPeople'sHospital,Shangqiu476100,China）［Abstract］Objective:Toinvestigatetheeffectofmildhypothermiaandposturalnursingonconsciousrecoveryandrehabilitationinchildrenwithseverecraniocerebralinjur

4、y.Methods:SixtychildrenwithseverecraniocerebraltraumawereenrolledintheFirstPeople'sHospitalofShangqiufromMarch2015toMarch2016.Wererandomlydividedintotwogroups,all30cases.Thepatientsinthecontrolgroupweretreatedwithroutinenursingandthepatientsintheobservationgrou

5、pweretreatedwithmildhypothermiaandposturalcare.Consciousnessrecoveryandrehabilitationwerecomparedbetweenthetwogroups.(P<0.05).Thehospital-acquiredpneumoniaandseizureratesintheobservationgroupweresignificantlylowerthanthoseinthecontrolgroup(P<0.05).Thetime

6、ofrescueandthetimeofrescueinobservationgroupweresignificantlylowerthanthoseinthecontrolgroupHospitalstaywassignificantlylowerthanthecontrolgroup,thedifferencewassignificant(P<0.05).Conclusion:Childrenwithseverecraniocerebraltraumahaveobviousclinicaleffectaft

7、ermildhypothermiaandposturalcare,whichcaneffectivelypromoteconsciousnessrecovery,shortenrescueandhospitalizationtime,reducecomplication,improveclinicaleffect,improveprognosisandqualityoflifeofchildrenHasimportantsignificance.[Keywords]Mildhypothermia;Posturalca

8、re;Severecraniocerebralinjury;Consciousnessrecovery;Rehabilitation小儿颅脑损伤作为儿科常见的危重疾病，具有较高的发生率及致死率，小儿颅脑损伤中较为常见的是重型颅脑损伤，是小儿主要的致死和致残原因。伴随现代医疗技术的不断进步与发展，重型颅脑损伤的死亡率和残疾率稍冇下降,却仍高于其他