多感觉刺激疗法对颅脑损伤意识障碍的临床研究  

Clinical effect of multiple-sensory stimulation on long-term unconsciousness with severe traumatic brain injury

作　　者：徐琳峰[1] 叶祥明[2] 石君杰[1] 李厥宝[2] 蒋磊[1] 闻万顺[2] 

机构地区：[1]浙江医学高等专科学校临床医学系,浙江杭州310051 [2]浙江省人民医院康复医学科

出　　处：《全科医学临床与教育》2014年第5期531-533,共3页Clinical Education of General Practice

基　　金：2012年浙江省教育厅高等学校访问工程师校企合作项目(FW2012006)

摘　　要：目的探讨多感觉刺激疗法对重型颅脑损伤(STBI)长期意识障碍患者的临床疗效。方法 40例患者随机分为对照组(20例)和治疗组(20例),对照组予常规康复治疗;治疗组在常规治疗后再进行多感觉刺激治疗。采用Glasgow昏迷量表(GCS)、JFK昏迷恢复量表评分(CRS-R)、脑电图(EEG)三项指标评估临床疗效。结果两组治疗前GCS评分、CRS-R评分、EEG分级比较,差异均无统计学意义(t分别=0.16、-0.55,χ2=2.43,P均>0.05)。两组治疗后GCS评分、CRS-R评分、EEG分级均比治疗前明显升高,差异有统计学意义(t分别=-10.74、-9.27;-2.69、-2.85,χ2分别=42.30、13.73,P均<0.05)。治疗组治疗后GCS评分、CRS-R评分、EEG分级明显优于对照组,差异有统计学意义(t分别=7.23、4.74,χ2=17.53,P均<0.05)。结论在常规康复治疗的基础上加用多重感觉刺激疗法能显著改善STBI长期意识障碍患者的脑功能,有较好的促醒作用。Objective To investigate the effect of multiple sensory stimulation on long-term unconsciousness with severe traumatic brain injury. Methods Forty patients were randomly divided into the control group（20 cases） received the con-ventional rehabilitation treatment and the treatment group （20 cases） received multiple sensory stimulation therapy after conventional treatment. The glasgow coma scale （GCS）, the JFK coma recovery scale score （CRS-R）, electroencephalo-graph （EEG） were compared after treatment in the two groups. Results The differences of GCS score, CRS-R score and EEG degree between two group before treatment were not statistically significant （t=0.16,-0.55,χ2=2.43,P〉0.05）. The GCS score , CRS-R score and EEG degree of two group post-treatment were significantly higher than pre-treatment （t=-10.74,-9.27;-2.69,-2.85,χ2=42.30,13.73,P〈0.05）. The GCS score, CRS-R score and EEG degree of the treat-ment group post-treatment were significantly higher than that of control group （t=7.23,4.74,χ2=17.53,P〈0.05）. Conclu-sion Multiple sensory stimulation can improve brain function in patients with STBI and have good effect on waking.

关 键 词：多感觉刺激 长期意识障碍 

分 类 号：R651.1[医药卫生—外科学]