早期亚低温治疗重型颅脑损伤57例观察

Clinical use of mild hypothermia treatment for sever traumatic brain injury

目的:探讨早期亚低温治疗重型颅脑损伤的疗效及其保护机制。方法:对57例重型颅脑损伤患者进行早期亚低温治疗并观察治疗效果。结果:亚低温组30例,3个月后GOS评分:良好15例,占50.0%;中度残疾5例,占16.7%;重度残疾4例,占13.3%;植物生存2例,占6.7%;死亡4例,占13.3%。常规治疗组27例,3个月后GOS评分:良好8例,占29.6%;中度残疾5例,占18.5%;重度4例,占14.8%;植物生存2例,占7.5%;死亡8例,占29.6%。结论:适时适度应用亚低温疗法能够明显改善重型颅脑损伤患者的预后。

Objective： To study the effect and the protection mechanism of the mild hypothermia treatment for the sever traumatic brain injury.Methods ：57 cases in our hospital were divided into two groups,that were investgated and the treatment process and the prognosis were analysed.Results：In mild hypothermia group（30 cases）,15GR cases,5 MD,4 DF,2 V and 4 D cases,while in control group（27cases）,there were 8GR cases,5 MD,4 DF,2 V and 8 D cases.Conclusion：Right time and right degree mild hypothermia treatment can improve the prognosis of the sever traumatic brain injury.