Effect of mild hypothermia on expression of inflammatory factors in surrounding tissue after minimally invasive hematoma evacuation in the treatment of hypertensive intracerebral hemorrhage
| Autor: | Jianhua Zhao, Zhongxin Qian, Chao Wang, Qing Mao, Jun Zhu, Zhun Qu |
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| Rok vydání: | 2017 |
| Předmět: |
Cancer Research
Mild hypothermia Intracranial hematoma Inflammatory response Group B NF-κB 03 medical and health sciences 0302 clinical medicine Hematoma Immunology and Microbiology (miscellaneous) medicine mild hypothermia cardiovascular diseases minimally invasive hematoma evacuation Hematoma evacuation Intracerebral hemorrhage business.industry Cancer General Medicine Articles inflammatory response medicine.disease intracerebral hemorrhage Anesthesia 030211 gastroenterology & hepatology business 030217 neurology & neurosurgery |
| Zdroj: | Experimental and Therapeutic Medicine |
| ISSN: | 1792-0981 |
| Popis: | Mild hypothermia combined with minimally invasive hematoma evacuation was evaluated in the treatment of hypertensive intracerebral hemorrhage to reduce inflammatory response of brain tissue around hematoma and ameliorate brain function, and to investigate its safety, effectiveness and feasibility. A total of 206 patients with acute spontaneous hypertensive intracerebral hemorrhage were collected clinically and randomly divided into minimally invasive hematoma evacuation group (group A) and mild hypothermia combined with minimally invasive hematoma evacuation (group B). The National Institutes of Health Stroke Scale (NIHSS) score was used before and after treatment. Group A was treated with minimally invasive intracranial hematoma evacuation using intracranial hematoma grinding puncture needle while group B received whole body water circulation type cooling blanket plus local cerebral mild hypothermia therapy with ice cap on the basis of minimally invasive surgery. Patients brain tissue fragments around hematoma taken out with rinsing during operation and at postoperative 1, 3 and 7 days were investigated. The contents of tumor necrosis factor-α (TNF-α) in serum at postoperative 1, 3 and 7 days were evaluated by enzyme-linked immunosorbent assay (ELISA). For the degree of nerve function defect of patients in the two groups, NIHSS score was lower in group B than that in group A at days 3 and 7, and the differences were statistically significant (P |
| Databáze: | OpenAIRE |
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