亚低温治疗急性脑出血的临床研究

Clinical observation of the effect of the moderate hypothermia therapy on acute cerebral hemorrhage

目的观察亚低温疗法治疗急性脑出血的临床疗效。方法将60例脑出血患者分为亚低温治疗组和对照组,每组30人。亚低温治疗组在常规药物治疗的基础上加用亚低温治疗,对照组为单纯常规药物治疗,亚低温组在发病48h内给予亚低温治疗,观察治疗后2周和4周时的临床疗效。结果治疗组的神经功能缺损评分明显低于对照组(P<0.05),治疗组的治愈率和有效率均高于对照组(P<0.05)。结论应用亚低温治疗可明显改善急性脑出血患者神经功能缺损功能,降低病死率和致残率。

Objective To observe the effect of the moderate hypothermia therapy on acute cerebral hemorrhage. Methods 60 patients with cerebral hemorrhage were divided into two groups, moderate hypothermia group （30 cases） and control group （30 cases）. Regular treatment was used in each groups. All cases in the moderate hypothermia group were treated by moderate hypothermia no more than 48 hours after attack. The clinical effect and prognosis of the both groups were contrasted in 2 weeks and 4 weeks. Results The level of neurological deficit scores （NDS） in moderate hypothermia group were better significatively than control group （P 〈 0.05 ）. The ratio of cure and efficiency in moderate hypothermia group were better than in control group （ P 〈 0.05）. Conelmion Moderate hypothermia therapy can ease the neurological impairment after acyte cerebral hemorrhage, and significantly decreased mortality and disablie rate of acute cerebral hemorrhage patients.