Clinical efficacy of intraoperative ultra-early mild hypothermia treatment for severe spontaneous intracerebral hemorrhage
10.3969/j.issn.1671-8348.2024.15.020
- VernacularTitle:术中超早期亚低温治疗对重症自发性脑出血的临床疗效
- Author:
Qiang LIU
1
;
Yizhi ZHOU
Author Information
1. 重庆两江新区人民医院神经外科,重庆 401121
- Keywords:
spontaneous intracerebral hemorrhage;
intraoperative ultra-early mild hypothermia;
post-operative mild hypothermia;
severe case;
clearance of intracerebral hematoma
- From:
Chongqing Medicine
2024;53(15):2353-2356
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effect of intraoperative ultra-early mild hypothermia on severe spontaneous intracerebral hemorrhage.Methods A total of 71 cases of severe spontaneous intracere-bral hemorrhage admitted and treated in the neurosurgery department of this hospital from January 2021 to June 2023 were included,in which 35 cases were in the intraoperative ultra-early mild hypothermia treatment group (the study group),36 cases were in the postoperative mild hypothermia treatment group (the control group).The venous blood samples were collected immediately after operation end,at 6,24,72 h and on 7 d af-ter operation for detecting the C-reactive protein (CRP) and interleukin-6 (IL-6) levels.The national institu-tes of health stroke scale (NIHSS) scoring and the Glasgow Outcome Scale (GOS) scoring in the two groups were conducted in postoperative 3 months.The independent sample t test was used to analyze the differences in CRP,IL-6 and NIHSS score between the two groups and the chi square test was adopted to analyze the good prognosis rate of the two groups.Results There was no statistically significant difference in serum CRP and IL-6 levels immediately after operation between the two groups (P>0.05),but the serum CRP and IL-6 lev-els at 6,24,72 h,7 d after operation in the study group were lower than those in the control group,and the differences were statistically significant (P<0.05).The NIHSS in postoperative 3 months in the study group was lower that that in the control group,while the prognosis good rate in postoperative 3 months was higher than that in the control group,and the differences were statistically significant (P<0.05).Conclusion The intraoperative ultra-early mild hypothermia treatment for severe spontaneous intracerebral hemorrhage has better clinical effect than postoperative mild hypothermia.
