亚低温治疗重性颅脑损伤157例疗效分析  

Investigation of 157 cases of mild hypothermia treatment on severe traumatic brain injuries

作　　者：姚声涛[1] 陈佳琳[2] 郭川[3] 唐文渊[3] 

机构地区：[1]遵义医院脑血管科,贵州遵义563003 [2]贵州省遵义市妇女儿童医院,贵州遵义563003 [3]重庆医科大学第一临床学院,重庆400016

出　　处：《遵义医学院学报》2007年第1期64-66,共3页Journal of Zunyi Medical University

摘　　要：目的探讨对重型颅脑损伤患者使用亚低温治疗的效果,研究亚低温治疗在重型颅脑损伤患者脑保护作用及方法。方法我科自2002年1月至2006年8月共收治314例重型颅脑患者,入选为GCS 3～8分无其它严重并发症未手术者。随机分为亚低温组与对照组,亚低温组患者入院后行亚低温治疗,对照组行常规治疗。对两组患者的治疗效果进行GOS评分。结果亚低温组157例患者,恢复良好62例,中残25例,重残及植物生存31例,死亡39例。对照组157例患者,恢复良好48例,中残27例,重残及植物生存28例,死亡54例。结论通过亚低温治疗对重型颅脑损伤患者有较好的脑保护作用,使其预后得到改善。Objective To explore the prognosis of mild hypothennia treatment in cases of severe traumatic brain injuries （sTBI）, improve the knowledge of mild hypothermia treatment on brain injuries. Methods Cases were divided into 2 groups： mild hypothermia treatment group and control group. Mild hypothermia was applied to the cases of sTBI in mild hypothermia group. The prognosis was divided into five grades such as good recovery （GR）, moderate disability （MD）, severe disability （SD）, persisted vegetative state （PVS） and death （D）. Results In mild hypothermia group, there were 62 GR cases, 25 MD, 31 SD and 39 D cases, while in control group, there were 48 GR cases, 27 MD, 28 SD and 54 D cases. Conclusions mild hypothermia treatment can improve the prognosis of sTBI.

关 键 词：颅脑损伤 重型 脑水肿 亚低温治疗 

分 类 号：R651.1[医药卫生—外科学]