原创《体位对神经内科危重症患者颅内脑灌注压的影响》：关于免费体位论文范文在这里免费下载与阅读,为您的体位相关论文写作提供资料。
DOI：10.16662/j.cnki.1674-0742.2017.07.050
[摘 要] 目的 探讨体位对神经内科危重症患者颅内脑灌注压的影响. 方法 方便选取2015年1—12月在聊城市复退军人医院神经内科住院的55例危重症患者进行观察,所有患者均通过传感器对颅内压力进行测定,分析床头抬高不同高度后患者颅内灌注压. 结果 通过测定发现,患者床头抬高0、10、20、30°和40°时其平均动脉压和颅内脑灌注压具有一定程度改变,其中抬高床头0～40°时患者颅内压、脑灌注压以及平均动脉压差异有统计学意义,30°和40°脑内灌注压[（74.8±3.2）mmHg vs（62.6±3.1）mmHg]比较差异有统计学意义（P<0.05）. 结论 体位变化对神经内科危重症患者具有十分重要的影响,将床头抬高30°时能有效降低患者颅内压以及低血压发生率.
[关键词] 神经内科；危重症；体位；颅内脑灌注压；临床效果
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）03（a）-0050-03
Effect of Position on the Encephalic Cerebral Perfusion Pressure of Critically Ill Patients in the Department of Neurology
LIN Zhan-kui1, ZHAO Shao-wei2, FAN Jun-guo3, XIE Xin-xin3, JIAO Jing-jing3
1.Department of Neurology, Liaocheng Veterans Hospital, Liaocheng, Shandong Province, 252000 China；2.Department of Surgery, Liaocheng Prison Hospital, Liaocheng, Shandong Province, 252000 China；3.Department of Otorhinolaryngology, Liaocheng People’s Hospital, Liaocheng, Shandong Province, 252000 China
[Abstract] Objective To discuss the effect of position on the encephalic cerebral perfusion pressure of critically ill patients in the department of neurology. Methods 55 cases of critically ill patients in our hospital from January to December 2015 were convenient selected and the encephalic pressure of all patients was measured by the sensor, and the encephalic cerebral perfusion pressure of patients after the bed head elevation in different heights was analyzed. Results The measurement showed that the mean arterial pressure and encephalic cerebral perfusion pressure of patients after the bed head elevation of 0, 10, 20, 30° and 40°had a certain change, and there were differences in the intracranial pressure, cerebral perfusion pressure and mean arterial pressure of patients at the time of bed head elevation of 0-40, and the difference in the encephalic cerebral perfusion pressure at 30° and 40°had statistical significance[（74.8±3.2）mmHg vs（62.6±3.1）mmHg]（P<0.05）. Conclusion Body position has a very important effect on critically ill patients in the department of neurology, and the bed head elevation of 30°can effectively reduce the incidence rate of intracranial pressure and hypopiesis.
[Key words] Department of neurology； Critically ill； Body position； Encephalic cerebral perfusion pressure； Clinical effect
顱内压力增加是临床上多种颅脑疾病共有的病理生理改变过程,颅内压力增加会引起脑移位和急性脑膨出,甚至引发脑疝、循环和呼吸衰竭,是导致脑部疾病患者发生死亡的主要原因[1].临床上对颅内压力传统的治疗方式为脱水或者实施开颅清除血肿等,然而不管何种方法均依靠患者内环境的调整,而该内环境的调整与患者环境和体位变化等具有密切相关性.临床研究报道,神经内科危重症患者未见特殊禁忌,待患者各项生命体征平稳后,可将床头抬高一定角度,以便脑部静脉血液回流,降低颅内组织耗氧量,进而改善脑水肿以及减少颅内压力[2].另有文献报道,过高的头部体位会导致脑血流量降低或者继发性脑损伤,使得脑补组织缺氧和缺血,进而不利于患者预后恢复,严重者出现急性脑肿胀而死亡[3].该文方便选取2015年1—12月在该院神经内科住院的55例危重症患者进行观察,所有患者均通过传感器对颅内压力进行测定,分析床头抬高不同高度后患者颅内灌注压,以便为临床颅脑损伤者提供护理参考依据,现报道如下.
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结论：体位对神经内科危重症患者颅内脑灌注压的影响为关于本文可作为体位方面的大学硕士与本科毕业论文体位论文开题报告范文和职称论文论文写作参考文献下载。
