亚低温治疗外伤性蛛网膜下腔出血的临床疗效分析

Clinical analysis of mild hypothermia treatment for traumatic subarachnoid hemorrhage

目的研究亚低温对外伤性蛛网膜下腔出血（traumatic subarachnoid hemorrhage，TSAH）患者的治疗作用及临床疗效分析。方法TSAH患者136例，随机分为亚低温组（n=70）及对照组（n=66）。亚低温组接受32℃～35℃亚低温治疗，对照组除无亚低温治疗外，其余治疗相同。比较2组患者的颅内压（intraeranial pressure，ICP）及脑血管痉挛（cerebral vasospasm，cvs）发生率的差异。结果与对照组相比，亚低温治疗组ICP，CVS发生率显著降低（P〈0．05）。结论亚低温对TSAH患者具有治疗作用。它可以降低TSAH患者的ICP以及CVS的发生率，从而改善TSAH患者预后。

Objective To study the effects of mild hypothermia on the patients with traumatic subarachnoid hemorrhage（TSAH）. Methods 136 patients with TSAH were randomly divided into mild hypothermia group （n=70） and control group （n=66）. Mild hypothermia group received 32℃ - 35 ℃ hypothermia treatment, in addition to the rest of the treatments in group control group at room temperature.To compare the differences of occurrence of ICP and CVS between the two groups. Results In comparison with control group,the mild hypothermia group＇s ICP value and CVS degree were significantly lower （P〈0.05）. Conclusion TSAH. It can reduce the elevated intracranial pressure prognosis of the patients with TSAH. Mild hypothermia has therapeutic effect for the patients of and the incidence of cerebral vasospasm,thereby improve the