音乐辅以语言唤醒策略对颅脑迁延性昏迷患者的应用效果  

The application effect of music assisted with language arousal strategy on patients with brain protracted coma

作　　者：姚晚侠 李炜昕 李格丽 陈静 陶小艳 张陇平 贺芳 吴玉萍 姚聪[3] 王诚 Yao Wanxia;Li Weixin;Li Geli;Chen Jing;Tao Xiaoyan;Zhang Longping;He Fang;Wu Yuping;Yao Cong;Wang Cheng(Shenzhen Sami medical center,Shenzhen,Guangdong 518118;Shenzhen first people's Hospital,Shenzhen,Guangdong 518031;Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an,Shaanxi 710004)

机构地区：[1]广东省深圳市萨米医疗中心,广东深圳518118 [2]广东省深圳市第一人民医院,广东深圳518031 [3]西安交通大学第二附属医院,陕西西安710004

出　　处：《护士进修杂志》2021年第3期260-263,共4页Journal of Nurses Training

基　　金：陕西省自然科学基础研究计划项目(编号:2018JM7150);广东省深圳市萨米医疗中心医院科研发展基金项目(编号:SSMC-2020-B3)。

摘　　要：目的探究音乐辅以语言唤醒策略疗法对颅脑迁延性昏迷患者的作用效果。方法本研究以互联网数据收集为媒介,将2016年7月-2019年6月在西安交通大学第一和第二附属医院收治的136例颅脑迁延性昏迷患者作为研究对象,按照随机数字表法分为对照组(n=68)和观察组(n=68),对照组运用传统的促醒方法,观察组在传统促醒方法基础上实施音乐辅以语言唤醒策略疗法。比较两组患者在干预前后的格拉斯哥昏迷评分(GCS)、脑功能障碍评分(DRS)、脑电图评价(CEEG)、昏迷恢复量表(CRS-R)评分的差异。结果观察组干预后CEEG评价及GCS评分高于对照组,DRS评分低于对照组,意识恢复总有效率高于对照组,差异均有统计学意义(P<0.05)。结论音乐辅以语言唤醒策略疗法能改善颅脑迁延性昏迷患者的神经功能,促进其意识苏醒,具有临床推广价值。Objective To explore the effect of music combined with language arousal strategy therapy on patients with brain protracted coma,and to provide the basis for the early recovery of patients with brain protracted coma.Method In this study,136 patients with brain delayed coma admitted to the first and second affiliated hospitals of Xi'an Jiaotong University from July 2016 to June 2019 were randomly divided into control group(n=68)and observation group(n=68)Language arousal strategy therapy.Glasgow Coma Scale(GCS),brain dysfunction scale(DRS),electroencephalogram evaluation(CEEG)and coma recovery scale(crs-r)were compared between the two groups before and after the intervention.Results CEEG evaluation and GCS score of the observation group were higher than those of the control group,DRS score was lower than that of the control group,and the total effective rate of consciousness recovery of the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion music combined with language wake-up strategy therapy can improve the neurological function of patients with brain protracted coma and promote their consciousness recovery,which is worthy of clinical promotion.

关 键 词：音乐促醒 语言唤醒 颅脑迁延性昏迷 神经功能 意识复苏 护理 

分 类 号：R473.74[医药卫生—护理学]