摘要
目的研究目标导向液体治疗对急诊颅脑损伤开颅患者预后的影响。方法选取清华大学附属北京垂杨柳医院自2017年8月—2019年2月收治的急诊颅脑损伤行开颅的患者61例,根据治疗方法分成两组,对照组(30例)应用常规输液进行治疗,观察组(31例)应用目标导向液体输液进行治疗。通过对两组治疗方法下患者住院时间、尿量、输液量、术后48 h格拉斯哥昏迷(GCS)评分、颅内压及并发症等指标的观察统计,比较两组治疗方法对患者预后的影响。结果观察组住院时间短于对照组,尿量多于对照组,输液量少于对照组,差异有统计学意义(P <0.05)。两组患者术后48 h GCS评分高于治疗前,颅内压低于治疗前,差异有统计学意义(P <0.05)。观察组患者术后48 h GCS评分高于对照组,颅内压低于对照组,差异有统计学意义(P <0.05)。观察组患者并发症发生率显著低于对照组,差异有统计学意义(P <0.05)。结论目标导向液体治疗可改善急诊颅脑损伤开颅患者的预后,并降低并发症发生率,是一种优秀的液体治疗方法。
Objective To study the effect of target-oriented liquid therapy on the prognosis of patients with emergency head injury craniotomy. Methods A total of 61 patients with emergency craniocerebral injury who underwent craniotomy in Chuiyangliu Hospital Affiliated to Tsinghua University from August 2017 to February 2019 were selected and divided into two groups according to the treatment method. The control group(30 cases) was treated with conventional infusion,the observation group(31 cases) was treated with goal-oriented liquid infusion. Through the observation and statistics of the patient’s hospitalization time, urine output, infusion volume, Glasgow coma score(GCS) at 48 h postoperatively, intracranial pressure and complications under the two treatment methods, the effects of the two treatment methods on the pa tient’s prognosis were compared. Results The observation group’s hospital stay was shorter than that of the control group, the urine output was more than that of the control group, and the infusion volume was less than that of the control group,and the differences were statistically significant(P < 0.05). The GCS score of the two groups were higher than those before treatment at 48 h after operation, and the intracranial pressure were lower than those before treatment, and the differences were statistically significant(P < 0.05). The GCS score of the observation group was higher than that of the control group at 48 h after operation, while the intracranial pressure was lower than that of the control group, and the differences were statistically significant(P < 0.05). The complication rate of the observation group was significantly lower than that of the control group, and the difference was statistically significant(P < 0.05). Conclusion Target-oriented liquid therapy can improve the prognosis of patients with emergency craniocerebral injury and reduce the incidence of complications. It is an excellent fluid therapy method.
作者
陈焜
于敏生
习涛
王宾
CHEN Kun;YU Minsheng;XI Tao;WANG Bin(Beijing Chaoyang District Emergency Medical Rescue Center,Beijing 100026,China;Department of Nursing,Chuiyangliu Hospital Affiliated to Tsinghua University,Beijing 100022,China;Department of Emergency Internal,Chuiyangliu Hospital Affiliated to Tsinghua University,Beijing 100022,China;Department of Emergency Surgery,Chuiyangliu Hospital Affiliated to Tsinghua University,Beijing 100022,China)
出处
《中国医药导报》
CAS
2021年第1期96-98,106,共4页
China Medical Herald
基金
北京市朝阳区科技计划项目(SF1009、SF1110)。
关键词
目标导向液体
急诊颅脑损伤
开颅
预后
Target-oriented liquid therapy
Emergency craniocerebral injury
Craniotomy
Prognosis
