脑室出血并发中枢性发热与脑室周结构脑动脉痉挛的关系  

The Relationship Between Cerebral Hemorrhage Complicated with Central Fever and Cerebral Arterial Spasm of the Ventricle

作　　者：黄志研 李妙琴 周金良 罗海林 傅跃权 陈向荣 黄凯懿 Huang Zhiyan;Li Miaoqin;Zhou Jinliang;Luo Hailin;Fu Yuequan;Chen Xiangrong;Huang Kaiyi(Dongguan Fenggang Hospital,Dongguan 523690,China)

机构地区：[1]东莞市凤岗医院,广东东莞523690

出　　处：《哈尔滨医药》2018年第4期316-317,共2页Harbin Medical Journal

摘　　要：目的探讨脑室出血并发中枢性发热与脑室周结构脑动脉痉挛的关系。方法本研究选取我院2015年6月至2016年6月收治的20例高血压性脑室出血患者作为研究对象,根据患者是否发生中枢性发热将20例患者分为中枢性发热组和无中枢性发热组,应用经颅多普勒超声监测两组患者脑室周结构局部血管血流动力学,获取搏动指数值(PI)和峰值流速值(PV),观察两组患者局部动脉痉挛情况。在将中枢性发热组随机分为尼莫地平干预组和非尼莫地平干预组,对比两组患者的发热改善程度。结果中枢性发热组PI值较无中枢性发热组高(P<0.05),PV值较无中枢性发热组低(P<0.05),脑室周结构脑动脉痉挛患者所占比例为61.54%,较无中枢性发热组的14.29%高(P<0.05)。尼莫地平干预组患者的发热程度较非尼莫地平干预组患者低(P<0.05)。结论高血压性脑室出血患者并发中枢性发热后发生脑室周结构脑动脉痉挛的风险性增大,尼莫地平能够有效改善患者中枢性发热。Objective To explore the relationship between cerebral hemorrhage complicated with central fever and cerebral arterial spasm of the ventricle.Methods This study selected in our hospital from June 2015 to June 2016 treated 20 cases of hypertensive intraventricular hemorrhage patients as the research object,according to whether patients with central high fever 20 patients were divided into central heating group and central heating group,transcranial Doppler ultrasound monitoring in two groups of patients with periventricular structure of local vascular hemodynamics.Get PI value（pulsatility index）and PV（peak flow）,observe two groups of local artery spasm in patients with central high fever.In the nimodipine group were randomly divided into intervention group and non intervention group,nimodipine,fever and compared two groups of patients with improvement.Results The central heating group PI value is no central high fever group（P〈0.05）,the PV value is no central heating group（P〈0.05）,periventricular structure of cerebral arterial spasm patients accounted for 61.54%,compared with no central fever group 14.29%（P〈0.05）.Nimodipine intervention fever group patients than in non nimodipine intervention group were low（P〈0.05）.Conclusion Hypertensive intracerebral hemorrhage complicated with central fever has increased risk of periventricular structure and cerebral artery spasm.Nimodipine can effectively improve central fever in patients.

关 键 词：脑室出血 中枢性发热 脑室周结构脑动脉痉挛 尼莫地平 关系 

分 类 号：R543.1[医药卫生—心血管疾病]