脑出血患者体温变化与预后的临床研究

目的探讨脑出血患者入院体温和入院后体温变化对机体神经系统预后的影响。方法 96例脑出血患者分别于入院第1、3、7、14天、1个月和3个月进行体温测量,并按入院时体温分为低体温组(T<36℃)、体温正常组(36～37℃)和体温升高组(T>37℃),以美国国立卫生研究院卒中量表(NIHSS)评分为标准判断机体神经系统的预后情况,观察脑出血患者体温的整体变化趋势以及NIHSS评分的变化趋势,分析低体温组、正常体温组与高体温组与NIHSS评分间的相关性。结果发现患者入院体温与入院后不同时间点的NIHSS评分密切相关(P<0.01),且呈正相关(P<0.01),体温越高患者神经功能缺损程度越严重。结论脑出血患者的体温变化与机体神经系统的预后密切相关,高体温患者常常指示预后不良,因而体温值有助于成为判定脑出血预后的有效指标而具有重要的临床意义。

Clinical Study of Intracerebral Hemorrhage Sufferers,Animal Heat Variation and Prognosis

Objective To approach the effect by changes of temperature prior to admission and after to admission for the encephalorrhagia on the prosgnosis of nervous system.Methods Mesure temperature of encephalorrhagia patient on admission、3rd day、7th day、14th day、1month、3month.They were divided randomly to groups as hypothermia(T<36℃)、normal temperature(36~37℃)、hyperthermia(T>37℃).Observe the neurologic prognosis according to NIHSS and the tandency of the temperature and NIHSS of encephalorrhagia patients.Analysis the correlation of the three groups of temperature with NIHSS.Results Discovery that the patients′NIHSS of different time is correlated with the temperature of admission(P<0.01),and they have positive correlation.The higher temperature,the more serious of neurologic impairment.Conclusion The variation of temperature for encephalorrhagia patients is correlated with neurologic prognosis,hyperthermia always demonstrate unfavourable prognosis.So temperature is an effe-ctive marker to assess the prognosis of encephalorrhagia patients.