Cai Shu, Lu Zheng
Department of Neurosurgery, Affiliated Haian Hospital of Nantong University, Haian 226600, Nantong, Jiangsu, China.
Emerg Med Int. 2021 Oct 8;2021:4105406. doi: 10.1155/2021/4105406. eCollection 2021.
To investigate the effect of mild hypothermia after craniotomy on the function of related organs in patients with traumatic brain injury.
A total of 240 patients with craniocerebral injury from January 2017 to December 2020 were retrospectively analyzed. Patients were randomly divided into a control group and an experimental group, with 120 cases in each group. The control group was treated with craniotomy decompression, and the experimental group was treated with early mild hypothermia based on craniotomy decompression. Patients' venous blood was collected before operation ( ), at the end of operation ( ), 24 h after operation ( ), and 2 weeks after operation ( ) to detect the serum levels of the beta-subunit of S100 protein (S100-); soluble growth stimulation expressed gene 2 (sST2), neutrophil gelatinase-associated lipocalin (NGAL), and interleukin 6 (IL-6). The prognostic effect was evaluated after 2 weeks of treatment.
After mild hypothermia treatment after craniotomy and decompression, the patients' serum S100-, sST2, NGAL, and IL-6 levels at different time points were significantly lower than the control group, and the total effective rate was higher than that of the control group.
The treatment of mild hypothermia after craniotomy can reduce the related organs function damage indicators and inflammatory stress response, thus improving clinical efficacy and prognosis.
探讨开颅术后亚低温对创伤性脑损伤患者相关器官功能的影响。
回顾性分析2017年1月至2020年12月共240例颅脑损伤患者。将患者随机分为对照组和实验组,每组120例。对照组采用开颅减压治疗,实验组在开颅减压基础上采用早期亚低温治疗。于术前( )、术毕( )、术后24小时( )及术后2周( )采集患者静脉血,检测血清S100蛋白β亚基(S100- )、可溶性生长刺激表达基因2(sST2)、中性粒细胞明胶酶相关脂质运载蛋白(NGAL)及白细胞介素6(IL-6)水平。治疗2周后评估预后效果。
开颅减压术后亚低温治疗后,患者不同时间点血清S100- 、sST2、NGAL及IL-6水平均显著低于对照组,总有效率高于对照组。
开颅术后亚低温治疗可降低相关器官功能损害指标及炎症应激反应,从而提高临床疗效及预后。