摘要
目的：探讨鼻饲液温度对重型颅脑损伤患者亚低温状态的影响。方法：选择重型颅脑损伤并应用亚低温治疗的患者72例,随机分为对照组和观察组各36例,对照组鼻饲液温度为38~40℃,观察组鼻饲液温度为30~32℃。鼻饲前、后分时段监测并记录两组患者的生理指标和胃液、粪便的隐血情况。结果：对照组患者鼻饲完毕时的肛温及颅内压高于鼻饲前（P〈0.05）,其上消化道出血情况也高于观察组（P〈0.01）。结论：重型颅脑损伤患者在亚低温治疗过程中,鼻饲时鼻饲液温度如果达38~40℃,对患者生理机能有一定的影响,临床上应谨慎采用。
Objective： To investigate influence of nasogastric juice＇s temperature on gravis type of head injury under hypothermias status.Methods： 72 gravis type of head injury patients who all accepted hypothermic treatment were divided into study group and control group at random.There were 36 cases in every group.The nasogastric juice＇s temperature was 38℃ to 40℃ in control group and 30℃ to 32℃ in study group.Physiological signs and obscure bleeding in both gastric fluid and stool were monitored and recorded at fixed time interval before and after feeding.Results： Anal temperature and intracranial pressure were obviously higher at the time after feeding than that before feeding in control group.Upper gastric bleeding incidence was higher in control group than in study group.These differences had statistic significance（P0.05）.Conclusions： The nasogastric juice＇s temperature,when higher than 38℃ to 40℃,may more or less influence physiological signs in gravis type of head injury under hypothermic therapy,so it should be carefully used in clinic.
出处
《护理实践与研究》
2011年第14期27-29,共3页
Nursing Practice and Research
关键词
颅脑损伤
亚低温
鼻饲液
温度
Head injury
Hypothermias
Nasogastric juice
Temperature
