多功能意识障碍促醒仪对神经外科昏迷患者的促醒作用  

Effect of multifunctional consciousness disorder wake-up apparatus on promoting of wake-up in comatose patients in neurosurgery department

作　　者：桂冬梅 杜邱 许静鸣 裴培 段晓春 GUI Dongmei;DU Qiu;XU Jingming;PEI Pei;DUAN Xiaochun(Department of Neurosurgery,the Affiliated Hospital of Yangzhou University,Yangzhou,Jiangsu,225000)

机构地区：[1]扬州大学附属医院神经外科,江苏扬州225000

出　　处：《实用临床医药杂志》2022年第12期1-3,共3页Journal of Clinical Medicine in Practice

基　　金：江苏省自然科学基金青年基金项目(BK20200936)。

摘　　要：目的探讨多功能意识障碍促醒仪对神经外科昏迷患者的促醒作用。方法将扬州大学附属医院神经外科病房收治的昏迷患者72例随机分为干预组和对照组,每组36例。对照组给予常规治疗,干预组在对照组基础上使用昏迷多功能意识障碍促醒仪进行治疗,每天共刺激8 h,每小时刺激20 min后休息40 min。治疗后1、2周,比较2组格拉斯哥昏迷量表(GCS)评分和国际昏迷恢复量表-修改版(CRS-R)评分。结果干预组患者治疗后1、2周GCS评分为(7.89±3.81)、(10.29±1.45)分,分别高于对照组的(6.46±2.67)、(8.41±2.59)分,差异有统计学意义(P<0.05);干预组患者治疗后1、2周CRS-R评分为(9.50±1.61)、(11.7±1.20)分,分别高于对照组的(8.56±1.67)、(9.11±1.59)分,差异有统计学意义(P<0.05)。结论多功能意识障碍促醒仪对于生命体征平稳的神经外科昏迷患者早期意识障碍有一定改善作用,可明显缩短昏迷时间,有利于昏迷患者的促醒。Objective To investigate effect of multifunctional consciousness disorder wake-up apparatus on promoting of wake-up in comatose patients in neurosurgery department.Methods A total of 72 coma patients admitted to neurosurgery ward of the Affiliated Hospital of Yangzhou University were selected and randomly divided into intervention group and control group,with 36 cases in each group.The patients in the control group were given conventional treatment,those in the intervention group used multifunctional consciousness disorder wake-up apparatus on this basis of the intervention group,and were stimulated for 8 hours of treatment every day,they were given 20 minutes of stimulation every hour and 40 minutes of rest.The scores of Glasgow Coma Scale(GCS)and Coma Recovery Scale-Revised(CRS-R)were compared between the two groups at 1 week and 2 weeks after the intervention.Results The GCS score of the intervention group was(7.89±3.81)at 1 week after treatment,and(10.29±1.45)at 2 weeks after treatment,which were higher than(6.46±2.67)and(8.41±2.59)of the control group(P<0.05).The CRS-R score of the intervention group was(9.50±1.61)after 1 week of treatment,and was(11.7±1.20)in the intervention group after two weeks of treatment,which were higher than(8.56±1.67)and(9.11±1.59)of the control group(P<0.05).Conclusion The multifunctional consciousness disorder wake-up apparatus can improve the early unconsciousness in neurosurgical coma patients with stable vital signs,significantly shorten the time of coma,and is beneficial to the promotion of revival of comatose patients.

关 键 词：昏迷 促醒治疗 神经外科 治疗仪 格拉斯哥昏迷量表 国际昏迷恢复量表-修改版 

分 类 号：R741[医药卫生—神经病学与精神病学] R49[医药卫生—临床医学]