高压氧联合芳香疗法对脑外伤后患者认知及其执行功能的影响  

Influence of hyperbaric oxygen therapy combined with aromatherapy on cognitive and executive function after cerebral trauma

作　　者：刘艳[1] 凡莉 范芹[1] 万菲[2] 张新风[2,3] 李艺华 Liu Yan;Fan Li;Fan Qin;Wan Fei;Zhang Xinfeng;Li Yihua(Neurosurgery Department,Jingzhou First People's Hospital;Jingzhou Mental Health Center;the Mental Health Institute,Yangtze University,Jingzhou,434000,China)

机构地区：[1]荆州市第一人民医院神经外科 [2]荆州市精神卫生中心 [3]长江大学精神卫生研究所,湖北荆州434000

出　　处：《现代临床护理》2020年第8期43-47,共5页Modern Clinical Nursing

基　　金：湖北省卫生计生委2017-2018科研项目,项目编号为WJ2017F107。

摘　　要：目的探讨高压氧联合芳香疗法治疗脑外伤后患者认知功能及执行功能的效果。方法选择2018年1月至2019年6月本院神经外科的156例脑外伤患者,将住院号的先后次序编号,将患者分为试验组(单号)和对照组(双号)其中试验组86例和对照组70例。对照组患者实施常规护理,其中包括高压氧疗法,试验组患者在常规护理的基础上采用高压氧疗法和芳香疗法联合干预,干预时间为3个月,比较两组患者干预前后认知功能和执行功能。结果干预前两组患者认知功能评分和执行功能比较,差异无统计学意义(均P>0.05)。干预后试验组患者在认知功能总分及定向力、视知觉、空间知觉、思维操作、视运动组织时间、注意力及专注力维度评分较对照组高,两组比较,差异具有统计学意义(均P<0.05);但视知觉和动作运作维度评分比较,差异无统计学意义(均P>0.05)。试验组患者在执行功能的正确数、持续错误数、随机错误数、分类数等方面较对照组高,两组比较,差异具有统计学意义(均P<0.05);在总测验次数和持续错误数评分比较,差异无统计学意义(均P>0.05)。结论高压氧联合芳香疗法能改善脑外伤患者认知功能和执行功能,值得临床推广。Objective To explore the effect of hyperbaric oxygen therapy combined with aromatherapy on the cognitive function and executive function of patients after cerebral trauma. Method A total of 156 patients with cerebral trauma from the Department of Neurosurgery from January 2018 to June 2019 were randomly divided into a study group(n=86) and a control group(n=70): The former group was treated with hyperbaric oxygen therapy combined with aromatherapy and the latter with hyperbaric oxygen therapy. Before and after intervention of 3 months, the two groups were compared in terms of the cognitive function and the executive function. Results There were no significant differences in the scores of recognition and executive functions before intervention( P >0.05). After 3 months of treatment, the total score of LOTCA as well as the scores of its dimensions like orientation, spatial perception,thinking operation, visual movement organization time, attention and concentration in the study group were significantly improved, as compared to the control group(P <0.05), but there were no differences in the scores of visual perception and motion. The scores of executive function’s dimensions such as correct number, continuous error number, random error number, and sorting number were significantly higher than those of the control group(P <0.05), but there were no significant differences in the scores of total test number and continuous error. Conclusion Hyperbaric oxygen therapy combined with aromatherapy can improve the cognitive function andexecutive function of patients with cerebral trauma, and hence it is worthy of clinical promotion.

关 键 词：芳香疗法 脑外伤 认知功能 执行功能 

分 类 号：R473.5[医药卫生—护理学]