摘要
目的探讨对重度颅脑损伤患者给予ICU治疗后获得临床效果。方法随机选取2019年2月—2021年7月菏泽市第三人民医院收治的100例重度颅脑损伤患者为研究对象,采用随机数表法分为两组,每组50例。参照组行常规疗法,研究组行ICU治疗方法。对比两组治疗效果。结果研究组重度颅脑损伤患者治疗总有效率(96.00%)高于参照组(80.00%),差异有统计学意义(χ^(2)=6.060,P<0.05)。治疗前,两组重度颅脑损伤患者DRS、GCS评分比较,差异无统计学意义(P>0.05);治疗后,研究组DRS、GCS评分均优于参照组,差异有统计学意义(P<0.05)。研究组并发症(高钠血症、肺部感染、脑性盐耗综合征)总发生率低于参照组,差异有统计学意义(P<0.05)。治疗前,两组颈内静脉氧饱和度比较,差异无统计学意义(P>0.05);治疗后,研究组颈内静脉氧饱和度低于参照组,差异有统计学意义(P<0.05)。结论ICU方法应用在重度颅脑损伤患者治疗中效果显著,可改善患者预后。
Objective To explore the clinical effect of ICU treatment for patients with severe craniocerebral injury.Methods A total of 100 patients with severe craniocerebral injury admitted to the Third People′s Hospital of Heze City from February 2019 to July 2021 were randomly selected as the research objects and divided into two groups with 50 cases in each group by random number table method.The reference group received conventional treatment,and the study group received ICU treatment.The therapeutic effect of the two groups was compared.Results After treatment,the total effective rate of the study group(96.00%)was higher than that in the reference group(80.00%),and the difference was statistically significant(χ^(2)=6.060,P<0.05).Before treatment,there was no statistically significant difference in DRS and GCS score between the two groups(P>0.05).After treatment,DRS and GCS score of the study group were better than those of the reference group,and the difference was statistically significant(P<0.05).The total incidence of complications(hypernatremia,pulmonary infection,cerebral salt consumption syndrome)in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in internal jugular vein oxygen saturation between the two groups(P>0.05).After treatment,the internal jugular vein oxygen saturation in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion ICU method is effective in the treatment of patients with severe craniocerebral injury and can improve the prognosis of patients.
作者
彭建华
李念龙
刘礼佳
PENG Jianhua;LI Nianlong;LIU Lijia(ICU,Department of Critical Care Medicine,Heze Third People′s Hospital,Heze,Shandong Province,274000 China;Department of Neurology,Heze Third People′s Hospital,Heze,Shandong Province,274000 China)
出处
《中外医疗》
2023年第18期73-76,共4页
China & Foreign Medical Treatment
