Observation of mild hypothermia nursing in patients with severe craniocerebral trauma
亚低温护理在重症颅脑外伤患者护理中的观察

摘要

目的 分析重症颅脑外伤（sTBI）患者应用亚低温护理（MTH）的效果。方法 选取2022年3月至2023年8月收治的sTBI患者70例，均给予常规治疗，随机分为观察组（MTH）和对照组（常规护理）各35例，对比护理效果。结果 护理前，组间神经功能比较（P>0.05）；护理后，观察组神经功能评分低于对照组（P<0.05）；护理前，两组全血黏度高切、全血黏度低切、乳酸、血糖水平比较（P>0.05）；护理后，观察组全血黏度高切、全血黏度低切、乳酸、血糖水平优于对照组（P<0.05）；护理前，组间预后评分、生活质量评分比较（P>0.05）；护理后，观察组预后评分、生活质量评分高于对照组（P<0.05）。结论 MTH在护理sTBI患者中存在良好效果，可改善神经功能及预后，提升生活质量。

Abstract

Objective To analyze the effect of moderate hypothermia nursing (MTH) on patients with severe traumatic brain injury (sTBI).
Methods A total of 70 sTBI patients admitted from March 2022 to August 2023 were selected and given routine treatment. They were randomly divided into the observation group (MTH) and the control group (routine nursing) each with 35 cases. The nursing effects were compared.
Results Before nursing, there was no significant difference in neurological function between the groups (P > 0.05); after nursing, the neurological function score of the observation group was lower than that of the control group (P < 0.05); before nursing, there was no significant difference in whole blood viscosity high cut, whole blood viscosity low cut, lactate, and blood glucose levels between the groups (P > 0.05); after nursing, the whole blood viscosity high cut, whole blood viscosity low cut, lactate, and blood glucose levels of the observation group were better than those of the control group (P < 0.05); before nursing, there was no significant difference in prognosis score and quality of life score between the groups (P > 0.05); after nursing, the prognosis score and quality of life score of the observation group were higher than those of the control group (P < 0.05).
Conclusion   MTH has good effects in nursing sTBI patients, which can improve neurological function and prognosis, and enhance quality of life.