体表降温及血管内降温治疗急性重型颅脑外伤的安全性对比分析  

Comparison of safty between surface cooling and endovascular cooling in the treatment of acute severe brain injury

作　　者：刘军[1] 曹德晨[2] 

机构地区：[1]河池市人民医院神经外科,广西547000 [2]天津市环湖医院颅脑创伤中心,天津300060

出　　处：《中国临床新医学》2015年第10期934-936,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨体表降温及血管内降温治疗急性重型颅脑外伤的安全性。方法选择急性重型颅脑外伤患者30例,采用随机数字表法分为体表降温组(A组,n=15)和血管内降温组(B组,n=15),对比两组患者达到目标降温温度时间、偏离目标温度1℃发生率、患者出现低血压、心率失常及电解质紊乱等并发症的发生率及达到目标复温温度时间。结果两组达到目标降温温度时间、达到目标复温温度时间及偏离目标温度1℃发生率比较差异有统计学意义(P<0.05)。出现低血压、心率失常及电解质紊乱等并发症发生率比较差异无统计学意义(P>0.05)。结论血管内降温具有降温速度快、维持目标体温平稳、复温简单平稳及并发症发生率低等特点,具有良好的安全性。Objective To explore the safety of two kinds of mild hypothermia in the treatment of acute severe brain injury. Methods Thirty patients were randomly divided into group A( treated with surface cooling) and group B( treated with endovascular hypothermia). The time to reach target cooling temperature,the incidence of 1 ℃ deviated from the target temperature hypotension rate,heart arrhythmia rate and electrolyte disorder rate and other complications were compared between the two groups. Results There were significant differences in the target cooling temperature time and the incidence of 1 ℃ deviated from the target temperature between the two groups( P < 0. 05).There were no significant differences in hypotension rate,heart arrhythmia rate,electrolyte disorder rate and other complications between the two groups( P > 0. 05). Conclusion Endovascular cooling is a safe and efficient treatment method for quickly maintaining the target temperature with features of simplicity,stability and less complications.

关 键 词：急性重型颅脑外伤 血管内降温 体表降温 

分 类 号：R651.15[医药卫生—外科学]