定时唤醒护理对日间嗜睡急性脑梗死患者神经功能预后的影响  

Effects of Regular Arousal on Prognosis of Nerve Function in Daytime Somnolence Patients with Acute Cerebral Infarction

作　　者：蒋旭萍[1] 雷德鸿 干克娜[1] 廖晓琴[1] 卢知娟[1] 黄萍[1] 付玉云 JIANG Xu-ping;LEI De-hong;CAN Ke-na;LIAO Xiao-qin;LU Zhi-juan;HUANG Ping;FU Yu-yun(Dept.of Neurology,Ganzhou People＇s Hospital,Ganzhou Jiangxi 341000;Dept.fo Neurology,The 2nd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China)

机构地区：[1]赣州市人民医院神经内科,江西赣州341000 [2]昆明医科大学第二附属医院神经内科,云南昆明650101

出　　处：《昆明医科大学学报》2018年第9期142-144,共3页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81560238);赣州市科技局科研基金资助项目(GZ2016ZSF141)

摘　　要：目的探讨定时唤醒护理对日间嗜睡急性脑梗死患者神经功能预后的影响.方法选择神经内科202例住院患者,随机分为对照组100例和实验组102例;对照组采用常规护理方法,实验组在常规护理的基础上采用定时唤醒护理,比较两组患者睡眠-觉醒昼夜节律紊乱的发生率、NIHSS评分、Glasgow评分及Rankin评分.结果对照组睡眠-觉醒昼夜节律紊乱发生率47.0%,NIHSS评分(平均分)第7日(26.3±2.1)、第14日(22.5±2.3)、第21日(17.4±2.0), Glasgow评分(平均分)第7日(6.3±1.1)、第14日(8.5±1.2)、第21日(11.2±1.0),Rankin评分(平均分)(4.3±0.8);实验组睡眠-觉醒昼夜节律紊乱发生率10.8%,NIHSS评分(平均分)第7日(21.9±1.8)、第14日(16.2±1.9)、第21日(13.3±1.7),Glasgow评分(平均分)第7日(8.9±0.7)、第14日(10.8±0.6)、第21日(13.6±0.6),Rankin评分(平均分)(2.1±0.3),2组患者比较差异有统计学意义(P<0.05).结论定时唤醒护理能有效改善日间嗜睡急性脑梗死患者神经功能预后.Objective To investigate the effects of regular arousal nursing on prognosis of nerve function in daytime somnolence patients with acute cerebral infarction. Methods 202 hospitalized patients were randomly divided into the control group（n=100） and study group（n=102）. For the control group, the routine nursing was adopted while for the study group routine nursing as well as regular arousal nursing were used so as to compare the incidence rate of sleep-wake rhythm disturbance and the scores of NIHSS, Glasgow and Rankin. Result The incidence of diurnal rhythm disorders in the control group was 47%. The average NIHSS scores were 26.3±2.1 on the 7 th day,22.5±2.3 on the 14 th day and 17.4 ±2.0 on the 21 st day respectively; the average Glasgow scores were 6.3 ±1.1 on the 7 th day,8.5±1.2 on the 14 th day and 11.2±1.0 on the 21 st day respectively and the average Rankin score was 4.3 ±0.8. The incidence rate of sleep-wake rhythm disturbance in the study group was 10.8%. NIHSS scores（average）were 21.9±1.8 on the 7 th day, 16.2±1.9）on the 14 th day and 13.3±1.7 on the 21 st day respectively;Glasgow scores（average）were8.9 ±0.7）on the 7 th day, 10.8 ±0.6 on the 14 th day and 13.6 ±0.6 on the 21 st day respectively and Rankin score（average）was 2.1 ±0.3.The difference between the 2 groups was statistically significant（P 〈 0.05）.Conclusion Regular wake-up care can effectively improve the neurological function in patients with acute cerebral infarction during daytime sleepiness.

关 键 词：定时唤醒 护理 日间嗜睡 急性脑梗 

分 类 号：R473.6[医药卫生—护理学]