不同方法对高血压性脑出血脑疝高热降温效果比较

The effect of different methods droped hyperpyrexia on the hypertensive cerebral hemorrhage cerebral hernia

目的探讨三种不同方法对高血压性脑出血脑疝 (HCHCH)高热病人的降温效果。方法将 96例HCHCH高热病人 ,随机分为颅脑降温治疗仪 (HTI)组、冰袋组和酒精擦浴组 ,以三组病人 30min内体温恢复率、体温反复率、3天以内体温恢复率、病死率、生存者治疗前后神经功能缺损评分 (NDS)与日常生活质量 (ADL)等指标进行对照观察。结果三组比较 30min内体温恢复率以酒精擦浴为佳 (P <0 0 1) ;体温反复者以HTI最低 (P <0 0 1) ;3天以内体温恢复率以HTI最高 (P <0 0 5 ) ;生存者治疗前后NDS、ADL比较以HTI组效果最佳 (P <0 0 5 ,P <0 0 1) ;病死率HTI组最低 (P <0 0 5 )。结论HTI不但降温效果较佳 ,而且对减少病死率及提高病人愈后生活质量起到积极的作用。

Objective To discuss the effect of three methods droped high temperature to the hypertensive cerebral hemorrhage cerebral hernia(HCHCH) patients. Methods 96 hyperpyrexia patients with HCHCH were randomly divided into head temperature control instrument (HTI) group,ice bag group and alcohol rubdow group .The index of temperature recovery rate, temperature reiteration rate ,the existent before and after treatment neurological deficiency score(NDS),activity daily living(ADL) and mortality rate were observed in three groups. Results The temperature recovery rate in 30 minute was better in alcohol rubdow group( P <0 01).The temperature reiteration rate was lower in HTI group( P <0 01).The temperature recovery rate in 3 days was high in HTI group( P <0 05).The HTI group was fine in the existent NDS,ADL compared before and after treatment ( P <0 05, P <0 01).The lowest mortality rate was HTI group( P <0 05). Conclusion The best effect was received in HTI group for it was not only droped hyperpyrexia but also reduced mortality rate and rised life quality.