Observation on nursing effect of cryotherapy in psychiatric surgery
神外科手术超低温治疗的护理效果观察

摘要

目的 对于护理干预下神经外科手术超低温治疗效果进行探讨。方法 以随机方式选取2021年2月至2022年3月间来我院神经外科行外科手术超低温治疗的患者80例患者作为研究对象，根据患者入院先后顺序均分为试验组（n=40）和对照组（n=40）。对照所患者在手术后通过常规护理模式进行干预，而实验组患者在常规护理的基础上整个临床治疗过程采取了人性化护理方式进行干预，对两组患者经护理干预后的脑氧代谢率、颅内压变化情况、以及治疗后不良反应发生率进行对比。结果 经护理干预后与对照组患者相比较，试验组患者在治疗后的脑氧代谢率、颅内压以及治疗过程中脑水肿、血压下降、压疮、心动过缓等不良反应的发生率明显更低，差异显著，P<0.05。结论 利用个性化护理对神经外科手术超低温治疗患者进行干预可以积极改善患者手术治疗过程中因温度突然变化而导致的心律失常、血氧下降、压疮等不良反应的发生率，从而可以使超低温临床治疗效果得到明显提升，在临床具有极大推广价值。

Abstract

Objective To explore the effect of ultra-low temperature treatment in neurosurgery under nursing intervention.
Methods 80 patients who came to the neurosurgery department of our hospital from February 2021 to March 2022 for surgical operation and ultra-low temperature treatment were randomly divided into the test group (n=40) and the control group (n=40) according to the order of admission. The patients in the control institute were intervened by the routine nursing mode after the operation, while the patients in the experimental group were intervened by the humanized nursing mode during the whole clinical treatment process on the basis of the routine nursing. The cerebral oxygen metabolism rate, intracranial pressure change and the incidence of adverse reactions after the treatment of the two groups were compared.
Results Compared with the control group, the incidence of cerebral oxygen metabolism rate, intracranial pressure, brain edema, blood pressure drop, pressure sore, bradycardia and other adverse reactions in the test group were significantly lower after treatment, P<0.05.
Conclusion   The use of personalized nursing intervention in patients with ultra-low temperature treatment in neurosurgery surgery can actively improve the incidence of arrhythmia, blood oxygen drop, pressure sore and other adverse reactions caused by sudden changes in temperature during the surgical treatment of patients, which can significantly improve the clinical treatment effect of ultra-low temperature, and has great clinical promotion value.