亚低温疗法治疗急性脑出血的临床效果分析

Clinical Effect of Sub-Hypothermia Therapy in Treatment of Acute Cerebral Hemorrhage

目的观察并比较药物治疗联合亚低温疗法与单纯药物治疗法治疗急性期脑出血的临床效果加以分析和探讨。方法将确诊为急性期脑出血的104例患者随机分为两组,每组52例,实验组在药物治疗的基础上采用亚低温疗法,对照组则仅采用最基础的药物疗法。在治疗前、治疗后15 d及治疗后30 d评定患者的格拉斯哥昏迷程度和神经功能缺损程度,并在治疗后30 d对患者身体恢复状况做出评定。结果相同时间内,实验组的格拉斯哥昏迷评分、神经缺损恢复程度明显高于对照组,即对照组起效较快,减少了患者意识障碍持续时间(P<0.05),差异具有统计学意义;经实验组治疗后的患者肢体功能良好人数比例明显高于对照组,治疗后患者日常生活能力比对照组高(P<0.05),差异具有统计学意义。结论药物治疗联合亚低温疗法比单纯药物疗法能够更有效、迅速的治疗急性期脑出血。

Objective To observe the clinical effect of pharmacotherapy combined with the hypothermia therapy for acute cerebral hemorrhage.Methods Total 104 patients with acute cerebral hemorrhage were randomly divided into 2 groups with 52 cases in each group.The experimental group received pharmacotherapy combined with the hypothermia therapy,while the control group received the pharmacotherapy.Glasgow Coma Scale（GSC） scores were used to assess the degree of neurologic injury before the treatment and 15 days and 30 days after the treatment.The physical recovery of patients 30 days after the treatment was evaluated.Results The GSC scores and recovery of neurologic injury in the experimental group was better as compared to the control group P〈0.05.The rate of patients with a well limb function after the treatment in the experimental group was higher than that in the control group,the ability of daily life of patients in the experimental group was better than that in the control group P〈0.05.Conclusion Pharmacotherapy combined with the hypothermia therapy in treatment of acute cerebral hemorrhage is effective and safe.