Analysis of clinical effect of therapeutic hypothermia nursing in patients with severe traumatic brain injury
亚低温护理用于重症颅脑外伤患者护理中的临床效果分析

摘要

目的 分析亚低温护理在重症颅脑外伤患者临床护理中的应用效果。方法 采用回顾性队列研究方法，选取我院2023年6月至2025年6月期间收治的符合标准的重症颅脑外伤患者90例为研究对象。依据护理方案差异，将患者分为观察组（实施系统化亚低温护理）与对照组（实施常规重症监护与常温护理）。结果 观察组患者干预后格拉斯哥昏迷评分改善程度明显高于对照组，颅内压水平与并发症发生率更低，平均机械通气时间、ICU住院时间更短，出院时格拉斯哥预后评分更低（P＜0.05）。结论 对重症颅脑外伤患者实施亚低温护理能够有效辅助控制颅内高压，促进神经功能恢复。

Abstract

Objective To analyze the application effect of therapeutic hypothermia nursing in the clinical nursing of patients with severe traumatic brain injury.
Methods A retrospective cohort study was conducted, selecting 90 eligible patients with severe traumatic brain injury admitted to our hospital from June 2023 to June 2025 as the research subjects. According to the differences in nursing plans, patients were divided into an observation group (receiving systematic therapeutic hypothermia nursing) and a control group (receiving routine intensive care and room temperature care).
Results After intervention, the observation group showed significantly higher improvement in Glasgow coma scale score compared to the control group, lower intracranial pressure levels and incidence of complications, shorter average mechanical ventilation time and ICU stay, and lower Glasgow outcome scale score at discharge (P<0.05).
Conclusion   Implementing therapeutic hypothermia nursing for patients with severe traumatic brain injury can effectively assist in controlling intracranial hypertension and promote neurological function recovery.