语言呼唤联合音乐促醒方案对重型创伤性脑损伤昏迷病人清醒时间及治疗效果的影响  

Influence of language calls combined with music therapy on sober time and therapeutic effect of coma patients with severe traumatic brain injury

作　　者：顾彩萍[1] 强荧艳[1] 李佳清[1] 廖照娣 张晓路[1] 陈维艳[1] 

机构地区：[1]南京医科大学附属无锡市人民医院

出　　处：《护理研究（上旬版）》2016年第10期3486-3490,共5页Chinese Nursing Researsh

基　　金：无锡市卫生局适宜卫生技术推广项目;编号:T201403

摘　　要：[目的]探究重型创伤性脑损伤昏迷病人引入语言呼唤联合音乐促醒方案对其清醒时间及治疗效果的影响。[方法]选取我院神经外科于2011年11月—2015年12月收治的86例重型创伤性脑损伤昏迷病人,采用随机数字表将病人分为研究组和对照组,每组43例;对照组给予常规护理干预,研究组在对照组基础上引入语言呼唤联合音乐促醒方案;两组病人在入院时、干预后第4天、第8天、第12天、第16天及第20天接受格拉斯哥昏迷评分(GCS),记录两组病人从昏迷直至清醒状态所花费的时间及病人在治疗期间意识清醒人数。[结果]两组病人在入院时以及干预后第4天、第8天、第12天、第16天的GCS评分差异均无统计学意义(P>0.05),干预后第20天研究组GCS评分高于对照组,差异有统计学意义(P<0.05);研究组病人在治疗期间清醒率为79.1%,高于对照组的41.9%,差异有统计学意义(P<0.05);研究组病人清醒时间为(18.4±4.2)d,早于对照组的(26.3±5.9)d,差异有统计学意义(P<0.05)。[结论]以语言呼唤联合音乐促醒方案有助于促进重型创伤性脑损伤昏迷病人的意识觉醒,利于病人病情转归。Objective： To explore the influence of language calls combined with music therapy on sober time and therapeutic effect of coma patients with severe traumatic brain injury. Methods： According to the random number table method,a total of 86 coma patients with severe traumatic brain injury treated in department of Neurosurgery from January 2012 to December 2015 were divided to intervention group and control group,43 cases in each. The patients in control group received the routine nursing, in addition, the patients in intervention group added language calls combined with music therapy. Both groups of patients were investigated at the time of admission,day 4th, 8th, 12th, 16th and 20th after intervention with Glasgow coma Scale（GCS） ; the duration was recorded from coma until the awake state;record the number of conscious patients was recorded during the intervention. Results： The GCS score of intervention group on the 20th day after intervention was statistically significant higher than that control group（P〈0 . 05） ; patients＇ awake rate in intervention group was 79. 1 % during treatment,higher than 41. 9% in control group, the difference was statistically significant（P〈0 . 05）; patients in intervention group have an earlier awake time（18. 4 ±4. 2） days, which was statistically significant different from that in control group（P〈0. 05）. Conclusion： The language calls combined awake with music therapy could promote the consciousness awakening of coma patients with severe traumatic brain injury,and was beneficial to the patient’s prognosis.

关 键 词：语言唤醒 音乐促醒 重型创伤性脑损伤 昏迷 苏醒 

分 类 号：R473.6[医药卫生—护理学]