CAJ | 학술논문

目的对比血管内降温与体表降温对重型颅脑创伤患者的疗效.方法 80例重型颅脑创伤患者随机分为血管内降温组和体表降温组,每组各40例,对比两组患者降温速度、达到目标温度的时间、偏离目标温度0.2℃的时间百分率、气管插管或气管切开率以及肌颤发生率等指标,并比较两组患者颅内压、并发症以及预后等临床指标间的差异.结果血管内降温组患者中心温度降低迅速,并能准确维持目标温度(33℃～35℃),变异范围小;其气管插管、气管切开率以及肌颤发生率与程度明显低于体表降温组;血管内降温组颅内压下降出现更早,并发症较少,预后优于体表降温组.结论血管内降温具有降温速度快,维持目标温度稳定,复温简单,并发症少等优点,临床效果较好.
목적 대비혈관내강온여체표강온대중형로뇌창상환자적료효.방법 80례중형로뇌창상환자수궤분위혈관내강온조화체표강온조,매조각40례,대비량조환자강온속도、체도목표온도적시간、편리목표온도0.2℃적시간백분솔、기관삽관혹기관절개솔이급기전발생솔등지표,병비교량조환자로내압、병발증이급예후등림상지표간적차이.결과 혈관내강온조환자중심온도강저신속,병능준학유지목표온도(33℃～35℃),변이범위소;기기관삽관、기관절개솔이급기전발생솔여정도명현저우체표강온조;혈관내강온조로내압하강출현경조,병발증교소,예후우우체표강온조.결론 혈관내강온구유강온속도쾌,유지목표온도은정,복온간단,병발증소등우점,림상효과교호.
Objective To study the difference between the intravascular cooling system and traditional moderate hypothermia in patients with severe traumatic brain injury.Method Eighty sTBI patients were randomly divided into intravascular hypothermic groups (IVT) and traditional moderate hypothermia groups(HT).Inclusion criteria included a Glasgow Coma Scale(GCS) score of ≤8 and time of after injury to on admission must be within 12 hours.We compared with the speed of cooling, the time to target temperature, the percentage of deviation to the target temperature over 0.2℃, the frequency of shivering and tracheal intubation or trachootomy between two group respectively.We recorded simultaneously the level of ICP and prognosis in all patients.Results The IVT groups could quickly get to and maintain accurately a target temperature( 33℃～ 35℃ ).There was a little range of the temperature in IVT groups.There was a significant decreasing in the frequency of the shivering and tracheal intubation or trachootomy.The decreased levels of ICP was significant faster than NT groups.However, the GOS scales were no significant difference between two groups.Conclusions The intravascular cooling has a greater advantage for sTBI patients than traditional methods.