早期头部亚低温治疗对急性缺血性脑卒中患者的护理效果

摘要

目的 探讨早期头部亚低温治疗对急性缺血性脑卒中患者的护理效果.方法 选择2016年1月～2017年1月连云港市第一人民医院卒中中心收治的急性缺血性脑卒中患者100例作为研究对象,按照随机数字表法分为观察组和对照组,每组各50例.对照组在入院后6h给予全身亚低温护理,观察组在对照组基础上于急诊CT确诊后即刻给予头部冰帽亚低温护理.比较两组美国国立卫生院脑卒中量表(NIHSS)、神经功能量表评分(mRS)情况及并发症发生率.结果 亚低温治疗后观察组NIHSS、mRS评分及并发症发生率均显著低于对照组,差异均有统计学意义(P＜0.05).结论 对急性缺血性脑卒中患者早期进行头部亚低温治疗,能显著改善患者神经功能,值得临床推广应用.%Objective To explore the effect of early head mild hypothermia treatment on patients with acute ischemic stroke.Methods From January 2016 to January 2017,100 patients with acute ischemic stroke admitted to the Stroke Center,the First People's Hospital of Lianyungang were selected as the research subjects and divided into the control group and the observation group according to the random number table,with 50 cases in each group.The control group was given systemic mild hypothermia treatment after 6 hours of adimitting to the hospital,while the observation group was given the mild treatment of head ice cap sub-hypothermia immediately after the emergency CT diagnosis on the basis of control group.The scores of national instiutes of health stroke scale (NIHSS),modified rankin scale (mRS) and the incidence of complications were compared between the two groups.Results After treatment,the scores of NIHSS,mRS and the incidence of complications in the observation group were significantly lower than those of the control group,with statistically significant differences (P ＜ 0.05).Conclusion Early mild hypothermia treatment can significantly improve the neurological function,reduce the occurrence of adverse events in patients with acute ischemic stroke.It is worthy of clinical promotion and application.