亚低温治疗重型颅脑损伤及其对脑血管痉挛指数的影响

To observe the effect of the mild hypothermia therapy on cerebral vessels spasm index of severe brain injury

目的观察亚低温治疗重型颅脑损伤及其对脑血管痉挛指数的影响。方法将80例患者随机分为亚低温治疗组及非低温组各40例,对比两组痉挛指数、昏迷时间、预后良好率、残死率的变化。结果亚低温组患者第3天、第5天和第7天的痉挛指数低于对照组,根据亚低温组患者残死率及恢复良好率均优于常温组。结论亚低温治疗对脑血管痉挛有较好的防治作用,可有效地缩短重型颅脑损伤病人昏迷时间,降低患者的死亡率。

Objective： To observe the effect of the mild hypothermia therapy on cerebral vessels spasm index of severe brain injury. Methods： 80 patients were assigned into hypothermia group（n=40）and non- hypothermia group（n=40）, according to their spastieity index, coma time, the recovery rate, disability and fatality rate were compared between the tow groups. Results：On the 3d, 5d and 7d spastieity index of hypothermia group was lower than that of control group. According to the mortality rate was lower and the recovery rate was higher in the hypothermia group than that in the control group. Conclusion： Mild hypothermia therapy could prevent cerebral vessels spasm, and also could effectively reduce coma time of severe brain injury patients,decline death rate.