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目的:探讨救治时间及术后监护对ICU重型颅脑损伤患者治疗效果的影响。方法:将90例重型颅脑损伤患者按照进入ICU时间的先后随机分为两组,每组45例,早期进入ICU的为治疗组,晚期进入的为对照组。由于两组患者均进行紧急开颅手术,在手术结束后,治疗组经家属同意,马上进入ICU病房进行监护观察;对照组则在手术结束后,先在普通病房观察两天,再转入ICU病房进行监护。比较两组患者的恢复情况和死亡情况。结果:治疗组的恢复情况明显好于对照组,死亡率也低于对照组。两组差异明显,具有统计学意义(P<0.05)。结论:重型颅脑损伤患者进行开颅手术后,立即转入ICU进行早期监护治疗,有利于病情恢复,提高患者的生存率及减少痛苦,值得临床应用推广。
Objective: To investigate the effect of treatment time and postoperative care on the treatment of ICU patients with severe craniocerebral injury. Methods: Ninety patients with severe craniocerebral injury were randomly divided into two groups according to the time they entered the ICU, 45 patients in each group. The patients who entered the ICU early were the treatment group and those who entered the late stage were the control group. As the two groups of patients underwent emergency craniotomy, at the end of the operation, the treatment group was admitted to the ICU ward to observe the surveillance immediately after the operation. In the control group, the patients were observed in the general ward for two days after the operation and then transferred to the ICU Ward for custody. The recovery and death of the two groups were compared. Results: The recovery of the treatment group was significantly better than that of the control group, and the mortality rate was also lower than that of the control group. Significant difference between the two groups, with statistical significance (P <0.05). Conclusion: After craniotomy, patients with severe traumatic brain injury should be transferred to ICU for early guardianship. It is conducive to the recovery of the disease, improve the survival rate of patients and reduce the pain, which is worthy of clinical application.