[精品][经典]高血压脑出血术后患者亚低温治疗疗效观察.doc

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1、［经典］高血压脑出血术后患者亚低温治疗疗效观察高血压脑出血术后患者亚低温治疗疗效观察【摘耍】目的与常温下治疗高血压脑出血术后患者临床效果相比较，探讨亚低温对患者的临床效果。方法选取100例高血压脑出血术后患者,分为亚低温组(50例)和常温对照组(50例),亚低温组术后开始用冰毯机持续降温，维持体温32°C〜35°C。配合应用冬眠、镇静、解痉等措施，治疗时间为5〜7do对照组患者给予常规治疗，措施与亚低温组相同。两组患者伤后当天及第1,3,5,7天行头颅CT扫描检查,动态观察损伤脑组织的影像学变化，并作预后分

2、析。结果治疗后3〜6个月后，亚低温组恢复良好率为19/50(38%),死亡率4/50(8%)o对照组恢复良好率为12/50(24%),死亡率7/50(14%)。两组比较,差异均有显著性意义(P〈0.01)o结论亚低温治疗可以降低高血压脑出血手术患者的死亡率，改善预后，是治疗高血压脑出血患者的有效辅助方法。【关键词】亚低温；高血压脑出血;治疗Theobservationofcurativeeffectonpostoperativepatienswithhypertensivecerebralhemorrhag

3、eapplyingthehypothermiatreatmentZHANGJian-bin,YULi-gang,DAIYan.DepartmentofNeurosurgery,PingduPeople'sHospitai,Pingdu266700,China令作者单位：266700山东省平度市人民医院神经外科[Abstract]ObjectiveComparedwiththetreatmentonthepatientofhypertensivecerebralhemorrhageatnormaltemper

4、ature,todiscussthecurativeeffectofcerebralprotectionwithhypothermiatotreatpostoperativepatienswithhypertensivecerebralhemorrhage・MethodsAtotalof100patientsofhypertensivecerebralhemorrhagewerecollectedforstudy.Eachcasewasappliedwithcraniamphitomhematomaclea

5、roperationwithinoneweekafteradmission.Allthepatientsweredividedintotwogroups:hypothermiagroup(50cases)andnormaltemperaturegroup(50cases)・Thepatientinthehypothermiagroupkeepthebodytemperatureat32~35°Cafteroperation,themethodistoapplywithcoolingblanketandhib

6、ernationdrugs,breathingapparatusandmusclerelaxantswhennecessary.Thepatientinthecontrolgroupwasgivenconventionaltreatmentwhichthesameashypothermiagroup.EachcasewasscannedbyCTondays1,3,5,and7.Dynamicobservationontheimagingchangesofdamagedbrainandtoanalyzethe

7、prognosis.Results3~6monthsaftertreatment,inthehypothermiagroup,34patientshadagoodrecovery(38%),6patientsdied(8%)・Inroomtemperaturegroup,24patientshadagoodrecovery(24%),14patientsdied(14%)・Thedifferencebetweenthetwogroupshaveahighdegreeofstatisticalsignific

8、ance(P<0.01).ConclusionHypothermiacanreducetheratesofmortalityonpostoperativepatienswithhypertensivecerebralhemorrhage,itisaneffectivemethodforseriousbraininjury.[Keywords】Hypothermia;Hypertensivecerebralhemo