目的　观察颅脑降温治疗仪头部轻度低温对高血压脑出血患者脑血流动力学、血肿周围水肿和临床疗效的影响。方法　 5 8例高血压脑出血随机分为治疗组和对照组 ,在给予脑出血常规治疗的同时 ,治疗组加用电子冰帽。观察血肿体积 ,血肿周围水肿体积 ,病灶侧大脑中动脉平均血流速度 (Vm)和脉动指数 (PI) ,神经功能缺损评分。结果　治疗后第 2 1天治疗组和对照组血肿周围水肿体积分别为 (13.4 3± 12 .6 )ml,(19.6 5± 11.73)ml,(P <0 .0 1)。治疗后第 7天治疗组和对照组Vm分别为 (43.35± 6 .2 8)cm s,(41.87± 6 .17)cm s,(P <0 .0 5 ) ;治疗后第 2 1天治疗组和对照组Vm分别为 (5 9.82± 8.92 )cm s ,(5 6 .78± 8.4 5 )cm s ,(P <0 .0 1)。治疗后第 2 1天治疗组和对照组神经功能缺损评分分别为 2 0 .6 4± 14 .31、2 4 .6 9± 13.2 3,(P <0 .0 1)。结论　颅脑降温治疗仪使头部轻度低温能减轻高血压脑出血血肿周围水肿 ,有利于血肿区Vm的恢复 ,改善临床神经缺损功能 Objective To observe the effect of craniocerebral cooling treatment on mild cerebral hypothermia in patients with hypertensive cerebral hemorrhage cerebral hemodynamics, edema around the hematoma and clinical effect. Methods Fifty-eight patients with hypertensive intracerebral hemorrhage were randomly divided into treatment group and control group. At the same time of routine treatment of intracerebral hemorrhage, the treatment group was given electronic ice caps. The hematoma volume, the volume of edema around the hematoma, the mean arterial blood flow velocity (Vm), the pulsatility index (PI) and the neurological deficit score were observed. Results On the 21st day after treatment, the volume of edema around the hematoma in the treated group and the control group were (13.4 3 ± 12.6) ml and (19.6 5 ± 11.73) ml, respectively (P <0.01). On the 7th day after treatment, the Vm of the treatment group and the control group were (43.35 ± 6.28) cm s, (41.87 ± 6.17) cm s, respectively (P0.05) The Vm of the group and the control group were (5 9.82 ± 8.92) cm s, (56.78 ± 8.45) cm s, respectively (P <0.01). Neurological deficit scores of the treatment group and the control group on day 21 after treatment were 20.4 ± 14.31 and 24.69 ± 13.2 3, respectively (P <0.01). Conclusion The treatment of brain cooling device makes the head mild hypothermia can reduce hypertensive cerebral hemorrhage around the hematoma, is conducive to the recovery of Vm hematoma area, improve the clinical function of nerve defects