早期促醒干预对急性缺血性脑卒中昏迷的影响  

The effect of early wake-up intervention on acute ischemic stroke and coma

作　　者：张丽娟[1] 李敏[1] 何茜[1] 王潘婷 ZHANG Lijuan;LI Min;HE Qian;WANG Panting(West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院,四川成都610041

出　　处：《中国实用神经疾病杂志》2022年第10期1265-1269,共5页Chinese Journal of Practical Nervous Diseases

摘　　要：目的观察早期促醒干预对急性缺血性脑卒中(AIS)昏迷患者的影响。方法将2019-09—2021-09收治的92例AIS昏迷患者纳入研究,以随机数字表法分为干预组与对照组,各46例。对照组实施常规护理干预,干预组实施早期促醒干预。干预1个月后观察2组患者昏迷预后情况、促醒状况、神经功能、意识水平、生理状态及患者家属对护理工作的满意度情况。结果干预组昏迷预后良好率(71.74%)优于对照组(43.48%,P<0.05);2组干预前GCS、NIHSS及DFS评分比较差异无统计学意义(P>0.05);2组干预后GCS评分高于干预前,NIHSS、DFS评分低于干预前(P<0.05),干预组GCS评分低于对照组,NIHSS、DFS评分低于对照组(P<0.05);干预组促醒时间早于对照组,入住ICU时间短于对照组(P<0.05)。结论针对AIS昏迷患者实施早期促醒干预能有效改善患者预后,帮助患者恢复意识水平,改善神经功能和生理状态,缩短促醒时间和入住ICU时间,在AIS昏迷患者临床治疗中具有重要价值。Objective To observe the effect of early wake-up intervention on coma patients with acute ischemic stroke(AIS).Methods A total of 92 patients with AIS coma who were treated from September 2019 to September 2021 were included in the study,and they were divided into an intervention group and a control group by random number table method,with 46 cases in each.The control group was given routine nursing intervention,and the intervention group was given early awakening intervention.After 1 month of intervention,the coma prognosis,awakening state,neurological function,level of consciousness,physiological state and the satisfaction of patients’family members with nursing work were observed in the two groups.Results The good prognosis rate of coma in the intervention group(71.74%)was better than that in the control group(43.48%),P<005;there was no significant difference in GCS,NIHSS and DFS scores between the two groups before intervention(P>0.05);After the GCS score was higher than that before the intervention,the NIHSS and DFS scores were lower than those before the intervention(P<0.05),the GCS score in the intervention group was lower than that in the control group,and the NIHSS and DFS scores in the intervention group were lower than those in the control group(P<0.05).It was earlier than the control group,and the ICU stay was shorter than that in the control group(P<0.05).Conclusion Early wake-up intervention for patients with AIS coma can effectively improve the prognosis of patients,help patients restore their level of consciousness,improve neurological function and physiological state,shorten the time of wake-up and stay in ICU,and has important value in the clinical treatment of patients with AIS coma.

关 键 词：急性缺血性脑卒中 昏迷 早期促醒干预 促醒状况 意识水平 

分 类 号：R743.3[医药卫生—神经病学与精神病学]