刺激性护理干预对创伤性脑损伤昏迷患者促醒效果的研究  

Study on the effects of stimulating care in comatose patients after traumatic brain injury

作　　者：纪超[1] 王宝春[1] 段明娟[1] 

机构地区：[1]厦门大学附属中山医院中心ICU,福建厦门361004

出　　处：《护理管理杂志》2009年第11期36-37,共2页Journal of Nursing Administration

摘　　要：目的探讨早期刺激性护理对创伤性脑损伤昏迷患者促醒的影响。方法将昏迷时间超过6 h,格拉斯哥昏迷评分3-8分的重型创伤性脑损伤患者72例,按入院时间分成两组,对照组采用常规护理方法,实验组在此基础上,采用听觉、触觉、运动3种刺激性护理方法进行干预,并采用格拉斯哥昏迷评分对患者进行治疗后2周、4周、6周的疗效评价。结果治疗后2周、4周两组患者格拉斯哥昏迷评分差异无统计学意义(P>0.05),治疗后6周两组患者格拉斯哥昏迷评分差异具有统计学意义(P<0.05)。结论早期刺激性护理对创伤性脑损伤昏迷患者有一定的促醒效果,对降低患者伤残率和促进患者早日康复具有积极作用。Objective To determine the effects of early stimulating care in comatose patients traumatic brain injury（TBI）. Methods Seventy - two cases of severe TBI patlents,who had been in coma more than 6 hours and the scoring of GCS （Glasgow Coma Scale） were 3 - 8 ,were divided into two groups according to admission time. The control group received conventional care. While the experimental group received convetional care and early hearing,touch,movement stim- ulating intervention. They were evaluated by GCS at 2 weeks,4 weeks, and 6 weeks after treatment. Results After the intervention, there had no significant difference between the GCS scores of two groups at 2 weeks and 4 weeks （P 〉 0.05 ）. At 6 weeks,the average score of the experimental group was significantly higher than that of GCS in the control group （P 〈 0.05 ）. Conclusion Early stimulating care has a certain wake - promoting effect on comatose patients with TBL It is helpful to reduce the disability rate and promote early recovery.

关 键 词：刺激性护理 创伤性脑损伤 昏迷 促醒 

分 类 号：R473.3[医药卫生—护理学] R473.6[医药卫生—临床医学]