首页> 外文期刊>Journal of Hainan Medical University >Effects of mild hypothermia on cerebral oxygen metabolism and brain injury in patients with severe craniocerebral injury
【24h】

Effects of mild hypothermia on cerebral oxygen metabolism and brain injury in patients with severe craniocerebral injury

机译:亚低温对重型颅脑损伤患者脑氧代谢和脑损伤的影响

获取原文
           

摘要

Objective: To investigate the effects of mild hypothermia on cerebral oxygen metabolism and brain injury in patients with severe craniocerebral injury. Methods: A total of 78 patients with severe craniocerebral injury who underwent emergency treatment in Huanggang Central Hospital between September 2015 and May 2017 were selected as the research subjects and divided into control group (n =39) and mild hypothermia group (n=39) by random number table. Control group received clinical standard large trauma craniotomy for severe craniocerebral injury, and mild hypothermia group received routine surgery and postoperative mild hypothermia therapy. The cerebral oxygen metabolism and brain injury in two groups of patients were detected immediately after admission (T0), 1 week after treatment (T1) and 4 weeks after treatment (T2). Results: At T0, there was no statistically significant difference in the levels of cerebral oxygen metabolism indexes, cerebral blood flow parameters and brain injury markers between the two groups. At T1 and T2, PO 2 levels in mild hypothermia group were higher than those in control group while Da-jvO 2 levels were lower than those in control group; cerebral blood flow parameters Vs and Wv levels were higher than those in control group while PI levels were lower than those in control group; brain injury markers MBP, AQP-4 and S-100B contents were lower than those in control group while BDNF contents were higher than those in control group. Conclusion: Adjuvant mild hypothermia therapy after routine surgery may further reduce the cerebral oxygen metabolism and relieve the brain injury in patients with severe craniocerebral injury.
机译:目的:探讨亚低温对重型颅脑损伤患者脑氧代谢和脑损伤的影响。方法:选择2015年9月至2017年5月在皇岗市中心医院接受急诊治疗的重度颅脑损伤患者78例作为研究对象,分为对照组(n = 39)和亚低温治疗组(n = 39)。按随机数表。对照组接受针对重度颅脑损伤的临床标准大创伤开颅手术,亚低温治疗组接受常规手术和术后亚低温治疗。两组患者入院后立即(T0),治疗后1周(T1)和治疗后4周(T2)检测到脑氧代谢和脑损伤。结果:在T0时,两组之间的脑氧代谢指标,脑血流参数和脑损伤标志物水平无统计学差异。在T1和T2时,亚低温治疗组的PO 2水平高于对照组,而Da-jvO 2的水平低于对照组。脑血流参数Vs和Wv水平高于对照组,而PI水平则低于对照组。脑损伤指标MBP,AQP-4和S-100B的含量低于对照组,而BDNF的含量高于对照组。结论:常规颅脑手术后辅助轻度低温治疗可进一步减轻重型颅脑损伤患者的脑氧代谢,减轻脑损伤。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号