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目的研究局部亚低温治疗对于早期老年急性脑出血临床效果。方法将我院72例脑出血老年患者随机分为两组各36例。常规治疗组积极实施脱水降压处理,局部亚低温组在此基础上使用半导体亚低温治疗仪行头颅局部降温,密切监测治疗过程中血压、心电图、呼吸及脉搏等生命体征。分别于治疗后2h、7d后对比两组患者日常生活能力、神经功能缺损评分、并发症发生率等,治疗后随访1-5个月观察不良反应。结果治疗7d后局部亚低温组日常生活能力评分高于常规组,神经功能缺损评分低于常规组。治疗期间两组并发症无显著差异,结论局部亚低温治疗早期老年急性出血可以减少脑组织的损伤,提高生存率,改善生活质量。
Objective To study the clinical effect of local mild hypothermia on acute cerebral hemorrhage in the elderly. Methods 72 cases of elderly patients with cerebral hemorrhage in our hospital were randomly divided into two groups of 36 cases. The routine treatment group actively carried out dehydration and antihypertensive treatment. On the basis of this, the local mild hypothermia group performed the local cranial cooling with the semiconductor mild hypothermia therapeutic instrument and closely monitored the vital signs such as blood pressure, electrocardiogram, respiration and pulse during the treatment. Respectively after 2h, 7d after treatment compared the daily living ability of two groups of patients, neurological deficit score, the incidence of complications, etc., followed up 1-5 months after treatment observed adverse reactions. Results After 7 days of treatment, the scores of daily living ability in the local mild hypothermia group were higher than those in the conventional group, and the scores of neurological deficit were lower than those in the conventional group. There was no significant difference in the complication between the two groups during the treatment period. Conclusion The local mild hypothermia treatment of early acute hemorrhage can reduce brain injury, improve the survival rate and improve the quality of life.