The Clinical Comparative Study On The Therapeutic Effects Of Neurocritically Ill Patients Implemented By Open And Closed Management Mode

Objective: To analyze the difference between open management mode and closed management mode,to explore the influence of management mode on the prognosis of patients with severe neurological diseases.Methods: Date of 73 neurocritically ill patients who were treated with intensive care in the First Affiliated hospital of Shanxi Medical University since Jan 2018 to Dec 2018 were collected.There are 38 neurocritically ill patients were treated in the neurosurgical intensive care unit which was open management mode and 35 neurocritically ill patients transferred to intensive care unit which was closed management mode in the same period.The data collected in this case review analysis were analyzed statistically using SPSS22.0.Chi-square tests and t test were used.P<0.05 prompted statistically significant data.Results: Statistical results showed that the baseline data of the two groups were basically the same,and there was no difference in age,sex,hospitalization days,ICU days and APACHE II score.And the incidence of hypoxemia,electrolyte disturbance,hypernatremia and hypoproteinemia of the closed group was lower than that of the open group(P < 0.05).There were no significant differences in rescue times,hyponatremia,hypokalemia,hyperkalemia,renal dysfunction,liver dysfunction,cardiac dysfunction, pulmonary infection,intracranial infection,tracheotomy,ventilator-assisted breathing,volume abnormality,hypoglycemia hypoglycemic events and incidence of hypertension emergencies(P > 0.05).Conclusion: There is no statistical difference between open management mode and closed management mode in overall prognosis of patients,but closed management mode is superior to open management mode in controlling some complications.