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目的观察并比较药物治疗联合亚低温疗法与单纯药物治疗法治疗急性期脑出血的临床效果加以分析和探讨。方法将确诊为急性期脑出血的104例患者随机分为两组,每组52例,实验组在药物治疗的基础上采用亚低温疗法,对照组则仅采用最基础的药物疗法。在治疗前、治疗后15 d及治疗后30 d评定患者的格拉斯哥昏迷程度和神经功能缺损程度,并在治疗后30 d对患者身体恢复状况做出评定。结果相同时间内,实验组的格拉斯哥昏迷评分、神经缺损恢复程度明显高于对照组,即对照组起效较快,减少了患者意识障碍持续时间(P<0.05),差异具有统计学意义;经实验组治疗后的患者肢体功能良好人数比例明显高于对照组,治疗后患者日常生活能力比对照组高(P<0.05),差异具有统计学意义。结论药物治疗联合亚低温疗法比单纯药物疗法能够更有效、迅速的治疗急性期脑出血。
Objective To observe and compare the clinical effects of drug therapy combined with mild hypothermia therapy and simple drug therapy in the treatment of acute cerebral hemorrhage. Methods A total of 104 patients with acute cerebral hemorrhage were randomly divided into two groups (n = 52 in each group). In the experimental group, mild hypothermia was used on the basis of drug therapy while only the most basic drug therapy was used in the control group. The degree of Glasgow coma and the degree of neurological deficits were assessed before treatment, 15 days after treatment and 30 days after treatment, and the patient’s body recovery was assessed 30 days after treatment. Results In the same time, the Glasgow coma score and the degree of recovery of neurological deficits in the experimental group were significantly higher than those in the control group, that is, the control group achieved rapid onset and decreased the duration of disturbance of consciousness (P <0.05). The difference was statistically significant. After treatment, the proportion of patients with functional limbs in the experimental group was significantly higher than that of the control group. After treatment, the patients’ daily living ability was higher than that of the control group (P <0.05). The difference was statistically significant. Conclusion The combination of drug therapy and mild hypothermia can cure acute cerebral hemorrhage more effectively and rapidly than simple drug therapy.