右正中神经电刺激对高血压脑出血后昏迷患者早期促醒治疗的研究  

Study of the Clinical Effect of the Early Right Median Nerve Electrical Stimulation to Hypertensive Intracerebral Hemorrhage-induced Coma

作　　者：陈加富 陈新生[1] 施正生 CHEN Jia-fu;CHEN Xin-sheng(Department of Neurosurgery,Anqing Hospital Affiliated to Anhui Medical University,Anqing 246003,Anhui,China)

机构地区：[1]安徽医科大学附属安庆医院神经外科,安徽安庆246003 [2]不详

出　　处：《医学信息》2018年第22期85-88,共4页Journal of Medical Information

摘　　要：目的探讨早期右正中神经电刺激对于高血压脑出血后昏迷患者的促醒效果以及对其远期康复的影响。方法选择2016年1月～2018年6月安徽医科大学附属安庆医院收治的高血压脑出血性昏迷患者41例,按照随机数字表法分为对照组(n=20)和实验组(n=21),对照组给予常规临床治疗,实验组在此基础上增加右正中神经电刺激治疗。通过比较两组患者治疗前后的脑电图(EEG)评分、格拉斯哥昏迷量表(GCS)、残疾分级量表(DRS)评分、NICU住院日以及6个月时两组患者的苏醒率,了解早期右正中神经电刺激对于高血压脑出血性昏迷患者的疗效。结果在接受不同治疗措施后,实验组NICU住院日低于对照组,6个月的苏醒率高于对照组,两组间差异有统计学意义(P<0.05);在治疗后的不同时间维度,实验组的EEG评分,GCS评分,DRS评分均优于对照组,差异有统计学意义(P<0.05)。结论右正中神经电刺激治疗可提高HICH昏迷患者苏醒率,减少NICU平均住院日,改善患者预后,提高生存质量。该方案经济有效,操作简便,作为一种早期临床辅助促醒治疗措施,值得临床借鉴应用。Objective To investigate the effect of early right median nerve stimulation on the recovery of coma patients after hypertensive intracerebral hemorrhage and the effect on its long-term rehabilitation.Methods From January 2016 to June 2018, 41 patients with hypertensive hemorrhagic coma were selected from Anqing Hospital affiliated to Anhui Medical University and were divided into two groups： control group （n=20） and experimental group （n=21） according to the method of random number table.The control group was treated with routine clinical therapy, and the experimental group was treated with right median nerve stimulation on this basis.By comparing the electroencephalogram （EEG） scores before and after treatment in the two groups, the Glasgow Coma Scale （GCS）, the Disability Rating Scale （DRS） score, the NICU hospitalization day, and the awake rate of the two groups of patients at 6 months, The effect of right median nerve stimulation on patients with hypertensive cerebral hemorrhagic coma. Results After receiving different treatment measures, NICU in the experimental group was lower than that in the control group, and the recovery rate in 6 months was higher than that in the control group,the difference between the two groups was statistically significant（P〈0.05）.The scores of EEG, GCS and DRS in the experimental group were better than those in the control group in different time dimensions after treatment,the difference between the two groups was statistically significant （P〈0.05）.Conclusion Right median nerve electrical stimulation can improve the recovery rate of HICH coma patients, reduce the average hospitalization days of NICU patients, improve the prognosis of patients and improve the quality of life.The measurement is economical, effective and easy to operate. As an early clinical assistant therapy, it is worthy of clinical reference.

关 键 词：右正中神经电刺激 高血压脑出血 昏迷 促醒 脑电图评分 

分 类 号：R651.12[医药卫生—外科学]