• 急性重症脑血管病亚低温治疗的分析
  • Severe acute cerebrovascular disease and the analysis of the cryogenic treatment
  • 余孔谋.急性重症脑血管病亚低温治疗的分析[J].内科急危重症杂志,2017,23(2):
    DOI:
    中文关键词:  急性  重症脑血管病  亚低温
    英文关键词:acute  Severe cerebrovascular disease  The low temperature
    基金项目:
    作者单位E-mail
    余孔谋 茂名市人民医院 MOMOkong22@163.com 
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    中文摘要:
          目的:分析急性重症脑血管病亚低温治疗的临床疗效。方法:选取2010年04月至2015年04月本院收治的30例急性重症脑血管病患者作为研究组,实施亚低温治疗;同期选取30例急性重症脑血管病患者作为对照组,采取常规治疗;对比两组患者临床疗效。结果:研究组恢复良好率为46.67%明显高于对照组的23.33%;死亡率为20.00%明显低于对照组的43.33%;差异有统计学意义(P<0.05)。研究组治疗后,ET、AVP、MDA、NO等指标改善均明显优于对照组,差异有统计学意义(P<0.05)。研究组血清L-selectin、ICAM-1 水平明显优于对照组,差异有统计学意义(P<0.05)。研究组治疗后,ESS评分、BI评分、FMA评分、QOL评分改善均明显优于对照组,差异有统计学意义(P<0.05)。结论:亚低温治疗急性重症脑血管患者,可促进神经功能恢复,改善患者预后情况,降低死亡率,提高患者生活质量,值得临床推广。
    英文摘要:
          objective: to analysis the clinical curative effect of acute severe cerebrovascular disease and the low temperature treatment. Methods: to select 2010 04 04, 2015 in our hospital treated 30 cases of acute severe cerebrovascular disease as a team, the implementation of the low temperature treatment; In the same period from 30 cases as control group in patients with acute severe cerebrovascular disease adopt regular treatment; Compared two groups of patients with clinical efficacy. Results: the team good recovery rate was significantly higher than the control group 46.67% 23.33%; Mortality was 20.00% less than 43.33% of the control group obviously; The difference was statistically significant (P < 0.05). Group after treatment, ET indicators improved, AVP, MDA, NO, etc were significantly better than the control group, the difference was statistically significant (P < 0.05).