亚低温应用于急性脑出血治疗的效果分析

The effect of mild hypothermia in the treatment of acute cerebral hemorrhage

目的研究亚低温应用于急性脑出血治疗的临床效果。方法选取某医院2015-01—2016-06期间收治的急性脑出血患者120例为研究对象,使用数字随机化法将所有患者分为对照组和试验组,每组各60例患者。对照组患者采用常规对症治疗,试验组在对照组的基础上采用亚低温疗法。比较两组患者治疗前后格拉斯哥昏迷评分变化情况,对两组患者治疗前后神经功能缺损评定结果进行比较,并比较两组患者治疗后身体功能恢复情况。结果试验组患者治疗后格拉斯哥昏迷评分明显优于对照组,两组数据差异有统计学意义(P<0.05)。神经功能缺损评分明显优于对照组,两组数据差异有统计学意义(P<0.05)。并且试验组患者的身体恢复情况较对照组更优,死亡率低于对照组,两组数据差异均具有统计学意义(P<0.05)。结论亚低温应用于急性脑出血治疗的效果显著,能明显改善患者的格拉斯哥昏迷评分和神经功能缺损评分,并减少患者的死亡率。

Objective To study the clinical effect of mild hypothermia on acute cerebral hemorrhage.Methods 120 cases of patients with acute cerebral hemorrhage admitted to a hospital from January 2015 to June 2016 were selected as the study sub- jects.All patients were randomly divided into control group and experimental group with 60 cases in each group.Patients in the control group were treated with routine treatment.The experimental group was treated with mild hypothermia on the basis of rou- tine treatment.Glasgow coma score changes before and after treatment and neurological impairment assessment results before and after treatment and physical function recovery after the treatment were compared between the two groups of patients.Results The Glasgow coma scores after treatment in the experimental group were significantly better than those in the control group and the difference was statistically significant （P 〈 0.05）.Neurological defect score was significantly better than that of the control group and the difference between the two groups was statistically significant（P 〈 0.05）.The physical recovery of the experimental group was better than that of the control group and the mortality rate was lower than that of the control group. The differences of the data between the two groups were statistically significant（P 〈 0.05）.Conclusion The curative effect of mild hypothermia on a- cute cerebral hemorrhage is remarkable, significantly improving Glasgow coma score and nerve function defect score and reducing the mortality of patients.