正中神经电刺激对颅内动脉瘤术后昏迷患者促醒效果分析  

Effect of median nerve electrical stimulation on awakening of coma patients after intracranial aneurysm surgery

作　　者：兰莉萍[1] 廖姝[1] 曾雯[1] 李娟[1] 朱榕[1] 王莉[1] Lan Liping;Liao Shu;Zeng Wen;Li Juan;Zhu Rong;Wang Li(Guizhou Provincial People＇s Hospital,Guiyang Guizhou 55000)

机构地区：[1]贵州省人民医院,贵州贵阳550002

出　　处：《护士进修杂志》2018年第20期1834-1836,共3页Journal of Nurses Training

摘　　要：目的探讨正中神经电刺激促进颅内动脉瘤术后昏迷患者觉醒的效果分析。方法选取2016年1月-2018年1月贵州省人民医院收录的48例颅内动脉瘤破裂术后昏迷患者,将其随机分为对照组及干预组,各24例。对照组采用常规护理模式进行干预,干预组在此基础上增加正中神经电刺激进行干预。正中神经电刺激参数设置:电流15mA,频率为50~100Hz,脉宽20ms,每次45min,每日2次,3个月为1个疗程。比较干预前后两组患者格拉斯哥昏迷量表(Glasgow Coma Scale,GCS)、Barthel指数和大脑血流速度改善情况。结果干预后干预组的GCS评分、Barthel指数及颅内血流速改善情况明显优于对照组(P<0.05)。结论采用正中神经电刺激对颅内动脉瘤术后昏迷患者进行护理干预,可以有效起到促醒的作用。Objective To investigate the effect of median nerve electrical stimulation on awakening of coma pa tients after intracranial aneurysm surgery. Methods 48 patients with intracranial aneurysms admitted to Guizhou pro vincial people＇s hospital from January 2016 to January 2018 were included and randomly divided into the control group （n =24） and the intervention group （n =24）. Patients in control group was given routine nursing mode, while patients in the intervention group received the median nerve electrical stimulation. Median nerve electrical stimula tion parameters were as followings： current 15mA, frequency 50 100 Hz, pulse width 20ms, 45rain each time, 2 times daily, 3 months as a course of treatment. The Glasgow coma scale （GCS）, Barthel score and cerebral blood flow rate were evaluated before and after the intervention. Results After intervention, the GCS score, Barthel score and blood flow rate in the intervention group were significantly better than that of the control group （P〈0.05）. Conclusion The median nerve electrical stimulation can effectively improve the awakening of patients with intracranial aneurysm.

关 键 词：正中神经电刺激 颅内动脉瘤 昏迷 促醒 

分 类 号：R473.6[医药卫生—护理学] R651.12[医药卫生—临床医学]