基于亲属全程陪同的感觉刺激在动脉瘤栓塞术后昏迷患者促醒中的应用  

Application of sensory stimulation based on the whole process accompanying of relatives in regain of consciousness in coma patients after aneurysm embolization

作　　者：唐月月[1] 谢艾伶[1] 方登富[1] Tang Yueyue;Xie Ailing;Fang Dengfu(Department of Cerebrovascular Disease,Suining Central Hospital,Sichuan 629000,China)

机构地区：[1]四川省遂宁市中心医院脑血管病科,629000

出　　处：《中华现代护理杂志》2021年第23期3176-3180,共5页Chinese Journal of Modern Nursing

摘　　要：目的:探讨基于亲属全程陪同的感觉刺激在动脉瘤栓塞术后昏迷患者促醒中的应用效果。方法:选择四川省遂宁市中心医院脑血管病科收治的动脉瘤栓塞术后昏迷患者为研究对象,将2019年6—12月收治的59例患者纳入对照组,实施常规感觉刺激;将2020年1—8月收治的60例纳入观察组,实施基于亲属全程陪同的感觉刺激。采用格拉斯哥昏迷量表(GCS)、中文版国际昏迷恢复量表(CRS-R)、简易精神状态量表(MMSE)比较干预前后两组患者昏迷状况、苏醒状态和认知功能,比较两组患者并发症发生情况。结果:干预3个月后,观察组患者GCS、CRS-R及MMSE得分均高于对照组,差异有统计学意义(P<0.05)。术后3个月内,观察组患者总并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论:动脉瘤栓塞术后昏迷患者采用基于亲属全程陪同的感觉刺激,有助于减轻昏迷程度,促进患者苏醒,降低患者并发症发生率。Objective To analyze the application of sensory stimulation based on the whole process accompanying of relatives in regain of consciousness in coma patients after aneurysm embolization.Methods Comatose patients after aneurysm embolization in Department of Cerebrovascular Disease,Suining Central Hospital of Sichuan Province were selected as the research objects.59 patients from June to December in 2019 were included in the control group and received routine sensory stimulation.60 patients from January to August 2020 were included in the study group,and the sensory stimulation based on the whole process accompanying of relatives was implemented.Glasgow Coma Scale(GCS),Chinese version of Coma Recovery Scale-Revised(CRS-R)and Mini-Mental State Examination(MMSE)were applied to compare the coma status,recovery status and cognitive function of the two groups before and after the intervention.The complications of the two groups were compared as well.Results After 3 months of intervention,the scores of GCS,CRS-R and MMSE of the study group were all higher than those of the control group,with statistically significant differences(P<0.05).Within 3 months after operation,the total incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions Sensory stimulation based on the whole process accompanying of relatives is helpful to reduce the degree of coma,promote the recovery of patients,and reduce the incidence of complications.

关 键 词：颅内动脉瘤 昏迷 感觉刺激 促醒 亲属全程陪同 

分 类 号：R473.6[医药卫生—护理学]