首页|亚低温冬眠疗法治疗重型颅脑损伤的临床研究

亚低温冬眠疗法治疗重型颅脑损伤的临床研究

Combined therapy of mild hypothermia and dormancy in the treatment of severe traumatic brain injury

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目的:探讨亚低温冬眠疗法对重型颅脑外伤患者的临床疗效。方法:将62例重型颅脑外伤患者随机分为亚低温冬眠治疗组和常温治疗组。前者30例,人院后24h内行亚低温冬眠治疗,输液泵持续静脉点滴冬眠合剂,将肛温控制在33-35℃,亚低治疗3-7d。比较两组的手术疗效及对患者预后的影响。结果:亚低温联合冬眠治疗组恢复良好率明显高于对照组,死亡率明显低于对照组,预后显著改善;两组之间总并发症发生率比较无统计学意义。结论:亚低温冬眠疗法具有显著的脑保护作用,临床应用于重型颅脑损伤治安全有效,无严重并发症。
Objective:To study the clinical and protective effect of combined therapy of mild hypothermia and dormancy in the treatment of severe traumatic brain injury. Methods:62 patients with severe traumatic brain injury (GCS≤8) were randomly divided into mild hypothermia and dormancy therapy group(30 cases) and the control group( 32 cases).The combined therapy of mild hypothermia and dormancy was applied with in 24 hours after admission, the anal temperature at 33-35℃and treatment course of 3 -7 days. According to Glasgow Outcome Scale( GOS) and complication, the prognosis of the patients was evaluated. Results:In comparison with control group, during dormancy treatment and mild hypothermia, mortality was reduced and good recovery rate was obtained,Yet the complications were not increased significantly. Conclusions:The combined therapy of mild hypothermia and dormancy are safe and efective for the prevention of brain injuries in patients with severe cerebral contusion and laceration,free from severe complication.

Severe traumatic brain injuryDormancy treatmentMild hypothermiaComplicationsPrognosi

周立田、杨平来、朱进

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溧水县人民医院神经外科 211200

重型颅脑外伤 亚低温 冬眠疗法 并发症 预后

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(8)
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