亚低温治疗急性重型颅脑损伤临床观察  

Clinical observation of mild hypothermia in treatment of acute severe head injury

作　　者：关毅[1] 杨学旺[1] 陈淳[1] 

机构地区：[1]漯河医学高等专科学校第二附属医院外一科,河南漯河462300

出　　处：《中国实用医刊》2012年第5期24-25,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨亚低温治疗重型颅脑损伤患者的方法和效果。方法将106例重型颅脑患者随机分为亚低温组与对照组，亚低温组行亚低温治疗，对照组行常规治疗。对两组患者的治疗效果进行格拉斯哥预后评分，监测颅内压和血糖水平。结果与对照组比较，亚低温组颅内压显著降低，血糖水平明显降低，病死率显著降低，预后显著改善。结论亚低温治疗能够减轻脑组织的继发性损害，改善患者预后，是一种安全有效的治疗措施。Objective To study the method and the effect of mild hypothermia in treatment ot patients with severe head injury. Methods One hundred and six cases of severe head injury were randomly divided into the hypothermic group and control group. Patients in mild hypothermia group received mild hypothermic treatment, patients in control group received conventional therapy. The treatment effects of patients were evaluated with GCS score, the intracranial pressure and blood glucose levels were monitored. Results Compared with the control group, the intraeranial pressure of mild hypothermia group reduced significantly, and blood glucose level decreased significantly, mortality reduced significantly, and prognosis improved obviously. Conclusions The mild hypothermia therapy can reduce the secondary damage of brain tissue, and improve the prognosis of patients, is a safe and effective treatment measure.

关 键 词：重型颅脑损伤 亚低温 预后 

分 类 号：R651.15[医药卫生—外科学]