不同降温方法治疗结核性脑膜炎高热效果比较

目的探讨不同降温方法用于结核性脑膜炎高热患者的临床效果。方法35例结核性脑膜炎高热患者分成观察组（11例）和对照组（24例），对照组实施传统降温法，观察组实施亚低温降温方法，观察两组降温前后生命体征、颅内压、Glasgow评分、并发症及病死率情况。结果观察组有效率81．8％，对照组为41．7％，两组比较差异有统计学意义（P〈0．05）；降温后，观察组生命体征优于对照组，颅内压、病死率低于对照组（P〈0．05），Glasgow评分高于对照组（P〈0．05）；两组并发症发生率比较差异无统计学意义（P〉0．05）。结论亚低温降温法能有效控制结核性脑膜炎高热患者的体温，提高患者意识状态，降低病死率。

Effects of different methods of dropping hyperpyrexia on the tubercular meningitis patients

Objective To discuss the effect of different methods of dropping the high temperature of the tubercular meningitis patients. Methods 35 cases with tubercular meningitis with high fever were divided into research group(11 cases) and control group(24 cases) ,24 patients in control group were treated by traditional cooling method, 11 patients in research group were rteated by mild hypothermia therapy, The self signs, the intracranial pressure,Glasgow scores, complications and the death rates of patients were assessed and compared. Results The effective rates of the research and control cooling method were 81.8% and 41.7% respectively. The difference between the two groups was significant;After the intervention,compared with the control group, the self scale is superior in research group,and the intracranial pressure and the death rates of patients were lower,and patients'Glasgow scores were higher,but the complications between the two groups had no significant differences. Conclusion Mild hypothermia can effectively control patients'temperature,at the same time, which can improve the patients conscious state and reduce the mortality.