不同体温对高血压脑出血患者预后的影响研究  

Effect of Different Body Temperatures on Prognosis of Patients with Hypertensive Intracerebral Hemorrhage

作　　者：麦晓[1] 欧海荣[1] 覃木秀[1] 李辉[1] 

机构地区：[1]广东省吴川市人民医院神经外科,广东吴川524500

出　　处：《河北医学》2009年第12期1390-1392,共3页Hebei Medicine

摘　　要：目的：探讨不同体温对高血压脑出血患者预后的影响。方法：对2006年1月至2008年1月间在我院住院治疗的HICH患者102例按照体温的不同分组,观察其对患者预后的影响。结果：体温正常组、低热组病死率分别与中度发热组、高热组比较明显较低,两两分别比较差异具有统计学意义（P〈0.05）。发热时间出现于入院后≤2d组病死率为66.67%,入院后2-3d组病死率为20.59%,入院后≥3d组病死率为0,入院后≤2d组、入院后2-3d组病死率明显高于入院后≥3d组,两者分别比较差异均具有统计学意义（P〈0.05）。体温正常组、低热组患者NDS、ADL分别较中度发热组、高热组明显改善,两者分别比较差异具有统计学意义（P〈0.05）。结论：体温越高,高热出现时间越早,HICH患者预后越差,应引起临床医师足够重视。Objective： To investigate the effects of different body temperatures on prognosis of patients with hypertensive intracerebral hemorrhage. Method： 102 cases with hypertensive intracerebral hemorrhage from January in 2006 to January in 2008 were divided into the different group, and the prognosis of patients were observed. Result： The case fatality of normal body temperatures group and low - grade fever group was lower than that of midrange fever group and ardent fever group, and there was significant difference between two groups（ P 〈0.05 ）. The case fatality was 66.67% in group which fever occured in 2 days after admission, 20.59% in group which fever occured in 2 to 3 days after admission and was 0 in group which fever occured more than 3 days after admission, and there were significant differences between them （ P 〈 0.05 ）. The NDS and ADL in normal body temperatures group and low -grade fever group were superior to those in midrange fever group and ardent fever group, and there was significant difference between two groups （ P 〈 0. 05 ）. Conclusion ： The body temperature is more higher, fever occured more early, and the prognosis of patients with hypertensive intracerebral hemorrhage is more bad. And the clinician must think highly of it.

关 键 词：体温 高血压脑出血 预后 

分 类 号：R743.34[医药卫生—神经病学与精神病学]