音乐疗法对ICU颅脑损伤意识障碍（Doc）患者意识的影响  

Effect of music therapy on patients’ consciousness of ICU brain injury patients with disturbance of consciousness(Doc)

作　　者：李爱琴[1] 陈洪英[1] 张文源[1] 崔可[1] LI Aiqin;CHEN Hongying;ZHANG Wenyuan;CUI Ke(Department of Critical Care Medicine,Taizhou Hospital of Zhejiang Province,Linhai317000,China)

机构地区：[1]浙江省台州医院重症医学科

出　　处：《中国现代医生》2019年第34期87-89,92,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划（2019PY091）

摘　　要：目的探讨音乐疗法对ICU颅脑损伤意识障碍(Doc)患者意识的影响。方法选择2018年1~12月在我院ICU治疗的颅脑损伤意识障碍患者60例为研究对象,随机分为观察组与对照组各30例。对照组实施常规治疗,观察组在此基础上加用音乐疗法。比较两组治疗前后GCS、CRS-R评分以及苏醒率、平均苏醒时间。结果(1)随着治疗时间的延长,两组患者GCS评分均呈上升趋势,治疗2周、3周及4周,观察组GCS评分显著高于对照组,差异有统计学意义(P<0.05)。(2)随着治疗时间的延长,两组患者CRS-R评分均呈上升趋势,治疗2周、3周及4周,观察组CRS-R评分显著高于对照组,差异有统计学意义(P<0.05)。(3)治疗4周后,观察组意识清醒率显著高于对照组,差异有统计学意义(P<0.05);观察组清醒患者平均清醒时间显著短于对照组,差异有统计学意义(P<0.05)。结论音乐疗法对颅脑损伤意识障碍患者的意识有一定的唤醒作用,临床上可根据情况推广应用。Objective To investigate the effect of music therapy on the consciousness of ICU brain injury patients with disturbance of consciousness(Doc).Methods Sixty brain injury patients with disturbance of consciousness(Doc)who were treated in ICU of our hospital from January to December in 2018 were selected as subjects.They were randomly divided into observation group and control group,with 30 cases in each group.The control group was given conventional treatment,and the observation group was given music therapy on this basis.The GCS,CRS-R score,recovery rate and average recovery time were compared between two groups before and after treatment.Results(1)With the prolongation of treatment time,the GCS scores of the two groups showed an upward trend.2 weeks,3 weeks and 4 weeks after treatment,the GCS score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).(2)With the prolongation of treatment time,the CRS-R scores of both groups showed an upward trend.2 weeks,3 weeks and 4 weeks after treatment,the CRS-R score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).(3)After 4 weeks of treatment,the awareness rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The average waking time of the awake patients in the observation group was significantly shorter than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Music therapy has a certain awakening effect on the consciousness of patients with head injury and disturbance of consciousness,and can be applied clinically according to the situation.

关 键 词：音乐疗法 ICU 颅脑损伤 意识障碍 

分 类 号：R651.15[医药卫生—外科学]