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脑损伤重症监护患者体温的昼夜节律

Circadian rhythms in the body temperatures of intensive care patients with brain lesions.

作者信息

Dauch W A, Bauer S

机构信息

Department of Neurosurgery, Philipps-University, Marburg, Federal Republic of Germany.

出版信息

J Neurol Neurosurg Psychiatry. 1990 Apr;53(4):345-7. doi: 10.1136/jnnp.53.4.345.

Abstract

The body core temperatures of 31 patients suffering from severe cerebral lesions were measured. Evidence for the existence or nonexistence of circadian rhythms in these patients was found to be associated with diagnosis (acute versus chronic lesions), with the level of consciousness, and with neurological findings (such as best motor response and pupillary reaction), but not with heart rate, corneal reflex, initial Glasgow coma score (GCS), or outcome. This evidence came to light only after multiphasic mathematical transformations of the raw data.

摘要

对31名患有严重脑部病变的患者的体核温度进行了测量。发现这些患者昼夜节律存在与否的证据与诊断(急性与慢性病变)、意识水平以及神经学表现(如最佳运动反应和瞳孔反应)相关,但与心率、角膜反射、初始格拉斯哥昏迷评分(GCS)或预后无关。只有在对原始数据进行多相数学变换后,这一证据才得以显现。

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本文引用的文献

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Alteration of circadian temperature rhythm with third ventricular obstruction.
J Neurosurg. 1973 Mar;38(3):309-19. doi: 10.3171/jns.1973.38.3.0309.
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Aspects of coma after severe head injury.重度颅脑损伤后的昏迷情况
Lancet. 1977 Apr 23;1(8017):878-81. doi: 10.1016/s0140-6736(77)91201-6.
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Assessment of outcome after severe brain damage.重度脑损伤后结局的评估。
Lancet. 1975 Mar 1;1(7905):480-4. doi: 10.1016/s0140-6736(75)92830-5.

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