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中枢神经系统功能与核心体温之间的关联在热中风患者中
Susan W Yeargin1, Samantha E Scarneo-Miller2, John Jardine3
1Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.
概括
强迫性热中风 (EHS) 患者显示直肠温度与格拉斯哥昏迷表 (GCS) 分数之间的相关性很弱. 临床症状和温度是识别EHS的关键,指导治疗.
科学领域:
- 运动医学 运动医学
- 环境生理学环境生理学
- 紧急医疗 紧急医疗
背景情况:
- 强迫性热中风 (EHS) 是一种以中枢神经系统 (CNS) 功能障碍为特征的关键医疗紧急情况.
- 格拉斯哥昏迷量表 (GCS) 通常用于评估神经状态,但其在EHS中的实用性需要进一步调查.
- 了解核心体温和神经障碍之间的关系对于有效的EHS管理至关重要.
研究的目的:
- 用GCS和相关的迹象/症状来描述中枢神经系统的功能,用于在公路比赛中治疗EHS的患者.
- 确定治疗期间EHS患者的直肠温度 (Tre) 和GCS得分之间的相关性.
主要方法:
- 这是一项回顾性横截面研究,使用了25名EHS患者在11公里公路比赛中接受治疗的非身份化医疗病历.
- 使用内置的探头,大约每3分钟记录一次直肠温度 (Tre).
- 格拉斯哥昏迷尺度 (GCS) 被训练有素的书记记录下来,包括子尺度得分和累积得分,使用既定的.
主要成果:
- 平均初始Tre为41.0 ± 0.6°C (105.8 ± 1.1°F);平均累计GCS得分为14 ± 3.
- 困惑是观察到的最常见的中枢神经系统功能障碍 (19.8%).
- 在Tre和GCS之间发现了显著但弱的负相关性 (rs = -0.255,P = 0.004). 当Tre高于40°C时,没有观察到显著的相关性.
结论:
- 虽然GCS是一种全球神经评估工具,但它可能无法完全捕捉到EHS中中枢神经系统功能障碍的范围.
- 临床医生应依靠中枢神经系统功能障碍和Tre的临床评估来初步识别EHS.
- 直肠温度 (Tre) 是指导EHS患者医院前冷却干预的关键参数.
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