The application of hypothermia nursing in the nursing of severe traumatic brain injury patients
亚低温护理在重症颅脑外伤患者护理中的应用

摘要

目的 分析对重症颅脑外伤患者应用亚低温护理的效果。方法 回顾性收集2020年3月前未接受亚低温护理的重症颅脑外伤患者40例资料为对照组，再回顾性收集和分析在2020年4月-2021年4月接受了亚低温护理的重症颅脑损伤患者资料为观察组，对比两组患者护理前后的NHISS 神经受损评分、GOS预后效果评分、ADL自理能力评分，再对比护理前后的全血黏度以及颅内压。结果 护理前，NHISS、GOS评分等观察指标差异不显著，P﹥0.05,护理后观察组各项指标优于对照组，差异显著，P﹤0.05。结论 对重症颅脑外伤患者实施亚低温护理可降低颅内压和神经受损程度，显著改善脑部微循环灌注，提高患者预后效果。

Abstract

Objective To analyze the effect of applying mild hypothermia nursing to patients with severe traumatic brain injury.
Methods A retrospective study was conducted to collect data from 40 severe traumatic brain injury patients who did not receive mild hypothermia care before March 2020 as the control group. Data from severe traumatic brain injury patients who received mild hypothermia care from April 2020 to April 2021 as the observation group were also retrospectively collected and analyzed. The NHISS neurological damage score, GOS prognostic effect score, ADL self-care ability score, and whole blood viscosity and intracranial pressure before and after nursing were compared between the two groups.
Results Before nursing, there was no significant difference in observation indicators such as NHISS and GOS scores, P>0.05. After nursing, the observation group had better indicators than the control group, with significant differences, P<0.05.
Conclusion   Implementing hypothermic care for patients with severe traumatic brain injury can reduce intracranial pressure and degree of nerve damage, significantly improve cerebral microcirculation perfusion, and enhance patient prognosis.