颅脑降温仪持续降温对重度颅脑损伤患者颅内压、体温的影响  

Influence of Continuous Cooling by Craniocerebral Hypothermia on Intracranial Pressure and Body Temperature in Patients with Severe Craniocerebral Injury

作　　者：林燕 LIN Yan(Department of Neurosurgery,Nankang District First People’s Hospital of Ganzhou City,Ganzhou,Jiangxi,341410,China)

机构地区：[1]赣州市南康区第一人民医院神经外科,江西赣州341410

出　　处：《黑龙江医学》2022年第13期1623-1625,共3页Heilongjiang Medical Journal

基　　金：赣州市指导性科技计划项目(赣市科结字[2020]18-07号)。

摘　　要：目的:探究颅脑降温仪持续降温对重度颅脑损伤患者颅内压、体温的影响。方法:选取2019年1月—2021年1月赣州市南康区第一人民医院收治的60例重度颅脑损伤患者作为研究对象,根据降温处理方法不同分为常规组与联合组,每组各30例,常规组采用冰袋、冰帽等常规降温治疗,联合组在常规组基础上加用颅脑降温仪。对比两组患者治疗前、治疗24 h内、治疗3 d、治疗7 d时患者的颅内压和体温,对比两组患者治疗后神经功能变化及并发症发生率。结果:两组患者治疗前颅内压和体温比较,差异无统计学意义(t=0.082,P>0.05)。联合组治疗24 h内、治疗3 d、治疗7 d后颅内压和体温显著低于常规组,差异有统计学意义(t=3.168、6.490、6.488,P<0.05)。治疗后联合组格拉斯哥昏迷(GCS)评分显著优于常规组,差异有统计学意义(Z=4.100,P<0.05)。联合组并发症发生率略低于对照组,但比较差异无统计学意义(χ^(2)=2.092,P>0.05)。结论:颅脑降温仪持续降温对重度颅脑损伤患者颅内压、体温有一定改善,且能减少并发症发生率。Objective:To investigate the effect of continuous cooling of craniocerebral hypothermia on intracranial pressure and body temperature in patients with severe craniocerebral injury.Methods:A total of 60 patients with severe craniocerebral injury who were admitted to the hospital from January 2019 to January 2021 were selected as the research objects,and were divided into a conventional group and a combined group according to different cooling treatment methods,with 30 cases in each group.The routine group was given routine cooling therapy such as ice packs and ice caps,and the combined group was given a craniocerebral cooling apparatus on the basis of the routine group.The intracranial pressure and body temperature were compared between the two groups before treatment,within 24 h of treatment,at 3 d of treatment,and at 7 d of treatment.The neurological function changes and the incidence of complications were compared between the two groups after treatment.Results:There was no statistically significant difference in intracranial pressure and body temperature between the two groups before treatment(t=0.082,P>0.05).The intracranial pressure and body temperature of the combined group were significantly lower than those of the conventional group within 24 h,3 d and 7 d after treatment,and the differences were statistically significant(t=3.168,6.490,6.488,P<0.05).After treatment,the Glasgow coma(GCS)score of the combined group was significantly better than that of the conventional group,and the difference was statistically significant(Z=4.100,P<0.05).The incidence of complications in the combined group was slightly lower than that in the control group,but the difference was not statistically significant(χ^(2)=2.092,P>0.05).Conclusion:Continuous cooling with craniocerebral hypothermia can improve intracranial pressure and body temperature in patients with severe craniocerebral injury,and can reduce the incidence of complications.

关 键 词：颅脑降温仪 重度颅脑损伤 持续降温 冰帽 颅内压 体温 

分 类 号：R651.15[医药卫生—外科学]