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目的对重度颅脑损伤患者进行ICU治疗的临床治疗效果进行分析。方法 100例重度颅脑损伤患者作为研究对象,随机分为对照组和观察组,每组50例。其中对照组采用常规的营养支持、降颅压、止血、糖皮质激素、脑循环改善、调整水电解质酸碱平衡和抗生素防感染治疗等常规手法进行治疗。观察组则在常规治疗的基础上对患者进行机械通气、颅压监测、亚低温治疗和循环支持等ICU治疗。对两组患者的治疗效果GCS评分进行对比。结果经对比发现,观察组的总有效率为86%,显著高于对照组的60%,差异具有统计学意义(P<0.05)。结论重度颅脑损伤患者应坚持早诊断、早治疗的原则,对其进行ICU治疗可以显著提高治疗效果。
Objective To analyze the clinical effect of intensive care unit (ICU) in patients with severe craniocerebral injury. Methods 100 cases of severe craniocerebral injury patients were randomly divided into control group and observation group, 50 cases in each group. The control group was treated by conventional techniques such as conventional nutritional support, intracranial pressure reduction, hemostasis, glucocorticoids, improvement of cerebral circulation, adjustment of acid-base balance of aqueous electrolyte and antibiotic anti-infection treatment. Patients in the observation group were treated with ICU on the basis of routine treatment, including mechanical ventilation, intracranial pressure monitoring, mild hypothermia and circulation support. The GCS scores of treatment outcomes were compared between the two groups. Results The comparison showed that the total effective rate in the observation group was 86%, which was significantly higher than that in the control group (60%) (P <0.05). Conclusion Patients with severe craniocerebral injury should adhere to the principle of early diagnosis and early treatment. ICU therapy can significantly improve the therapeutic effect.