头部亚低温治疗高血压性脑出血的临床效果  

Clinical effect of head mild hypothermia in treating hypertensive cerebral hemorrhage

作　　者：方浩威[1] 林菡[1] 余映丽[1] 黄晓芸[1] 王明霞[1] 

机构地区：[1]广东省东莞市厚街医院神经内科,广东东莞523945

出　　处：《中国当代医药》2017年第10期62-64,共3页China Modern Medicine

摘　　要：目的探讨头部亚低温治疗高血压性脑出血的临床效果。方法选取2014年2月~2016年2月我院收治的110例高血压性脑出血患者,分为观察组(n=55)与对照组(n=55)。对照组患者实施常规治疗,观察组患者实施头部亚低温治疗,比较两组患者的临床效果。结果两组患者治疗前的颅内压比较,差异无统计学意义(P>0.05);治疗第1、2、5、7天,观察组患者的颅内压明显低于对照组,差异有统计学意义(P<0.05)。观察组患者的总并发症发生率为10.91%,明显低于对照组的32.73%(χ~2=7.674,P=0.006)。两组患者治疗前的GCS和NIHSS评分比较,差异无统计学意义(P>0.05);治疗2周后,观察组患者的GCS评分明显高于对照组,NIHSS评分明显低于对照组,差异有统计学意义(P<0.05)。观察组患者的日常生活能力评分总有效率为92.7%,明显高于对照组的76.4%(χ~2=5.636,P=0.018)。结论头部亚低温治疗高血压性脑出血能有效降低患者的颅内压及并发症发生率,改善患者的神经功能缺损和预后,降低患者的死亡率,值得临床推广应用。Objective To explore the clinical effect of head mild hypothermia treating hypertensive cerebral hemorrhage. MethOds 110 patients with hypertensive cerebral hemorrhage treated by our hospital from February 2014 to February 2016 were selected and divided into observation group （n=55） and control group （n=55）.The control group was given general treatment,and the observation group was given head mild hypothermia.The clinical effect between two groups was compared.Results The intracranial pressure had no significant difference between two groups before treatment （P〉0.05）, after treatment for 1,2,5 and 7 days,the intracranial pressure in the observation group was obviously lower than those of control group,and the difference was significant （P〈0.05）.The total incidence rate of complications in the observation group was 10.91%,and it was obviously lower than that was 32.73% in the control group,and the difference was significant （x2=7.674,P=0.006）.Before treatment,the GCS and NIHSS score between two groups had no significant （P〉0.05）,after treatment for 2 weeks,the GCS score in the observation group was obviously higher than that of control group,while NIHSS score was obviously lower than that of control group,and the difference was significant （P〈0.05）.The total effective rate of daily life ability score in the observation group was 92.7%,and it was obviously higher than that in control group （76.4%）,and the difference was significant （x2=5.636,P=0.018）.Conclusion Head mild hypothermia treating hypertensive cerebral hemorrhage can effectively reduce the intracranial pressure and incidence rate of complications,improve neurological deficit and prognosis,reduce the mortality of patients and it is worthy of clinical promotion and application.

关 键 词：头部亚低温治疗 高血压性脑出血 颅内压 

分 类 号：R743.34[医药卫生—神经病学与精神病学]