目的探讨对乙酰氨基酚(扑热息痛)对急性脑卒中患者体温和神经功能的影响。方法将58例急性脑卒中患者随机分为两组,治疗组口服对乙酰氨基酚650mg,每4小时1次;对照组应用安慰剂,疗程均为1周。比较两组患者治疗前后体温和脑卒中评分变化。结果治疗组体温明显下降,3个月后脑卒中评分明显提高,与对照组相比有显著性差异(P<0.01)。结论急性脑卒中早期应用对乙酰氨基酚对患者有益。 Objective To investigate the effects of acetaminophen (paracetamol) on body temperature and neurological function in patients with acute stroke. Methods A total of 58 acute stroke patients were randomly divided into two groups. The treatment group received acetaminophen 650mg once every 4 hours. The control group received placebo for 1 week. The changes of body temperature and stroke score were compared between the two groups before and after treatment. Results The body temperature of the treatment group decreased significantly, and the score of stroke after 3 months was significantly higher than that of the control group (P <0.01). Conclusions Early use of paracetamol in patients with acute stroke is beneficial to patients.