标准化前庭刺激应用于病毒性脑炎合并慢性意识障碍患儿的效果  

Effect of standardized vestibular stimulation on children with viral encephalitis complicated with chronic disorders of consciousness

作　　者：张婧 韩亮 洪黎 ZHANG Jing;HAN Liang;HONG Li

机构地区：[1]河南省儿童医院郑州儿童医院康复中心五病区,河南郑州450000

出　　处：《中国疗养医学》2024年第6期20-23,共4页Chinese Journal of Convalescent Medicine

基　　金：河南省医学科技攻关计划项目(LHGJ20220754)。

摘　　要：目的 研究标准化前庭刺激对病毒性脑炎合并慢性意识障碍患儿昏迷程度、意识状态及脑功能的影响。方法 选取河南省儿童医院郑州儿童医院2020年8月至2023年8月76例病毒性脑炎合并慢性意识障碍患儿采用随机数字表分组,对照组38例给予常规康复,观察组38例增加标准化前庭刺激,对比两组患儿治疗效果、昏迷程度、意识状态、恢复清醒时间和脑功能。结果 观察组治疗总有效率94.74%高于对照组73.68%(P<0.05);观察组治疗后,儿童格拉斯哥昏迷量表(PGCS)评分为(11.11±1.92)分,高于对照组(9.05±1.69)分(P<0.05);观察组治疗后,儿童意识障碍评估量表(CCAS)评分和平均恢复清醒时间分别为(9.36±2.28)分、(30.14±4.41)d,低于对照组(15.68±2.69)分、(33.52±6.24)d(P<0.05);观察组治疗后,患儿脑功能分级Ⅰ~Ⅱ级者占60.53%,Ⅲ~Ⅳ级者占39.47%,对照组Ⅰ~Ⅱ级者占34.21%,Ⅲ~Ⅳ级者占60.53%,Ⅴ~Ⅵ级者占5.26%,观察组患儿脑功能分级优于对照组(P<0.05)。结论 标准化前庭刺激能够有效促进病毒性脑炎合并慢性意识障碍患儿恢复意识,缩短恢复清醒时间,降低昏迷程度,提高脑功能。Objective To study the effects of standardized vestibular stimulation on coma degree,consciousness state and brain function in children with viral encephalitis complicated with chronic disorders of consciousness.Methods A total of 76 children with viral encephalitis complicated with chronic disorders of consciousness admitted in Henan Children's Hospital(Zhengzhou Children's Hospital)from August 2020 to August 2023 were enrolled.They were randomly divided into the control group(n=38,routine rehabilitation)and observation group(n=38,routine rehabilitation combined with standardized vestibular stimulation)by random number table method.The therapeutic effect,coma degree,state of consciousness,recovery time and brain function of the two groups were compared.Results The total effective rate of observation group was significantly higher than that of the control group(94.74%VS 73.68%,P<0.05).After treatment,the Pediatric Glasgow Coma Scale(PGCS)score of the observation group was significantly higher than that of the control group(11.11±1.92 points VS 9.05±1.69 points,P<0.05).After treatment,the Cerebellar Cognitive Affective Syndrome(CCAS)scores(9.36±2.28 points VS 15.68±2.69 points)and the mean time to regain the sanity(30.14±4.41 days VS 33.52±6.24 days)in the observation group were significantly lower than those of the control group(both P<0.05).After treatment,there were 60.53%and 39.47%of children in the observation group were graded into ClassⅠ-Ⅱand ClassⅢ-Ⅳof brain function,respectively.There were 34.21%,60.53%and 5.26%of children in the control group were graded into ClassⅠ-Ⅱ,ClassⅢ-Ⅳand ClassⅤ-Ⅳof brain function,respectively.Brain function classification in the observation group was significantly superior to that in the control group(P<0.05).Conclusion Standardized vestibular stimulation can effectively promote the recovery of consciousness in children with viral encephalitis complicated with chronic disorders of consciousness,shorten the recovery time,reduce the degree of coma,and imp

关 键 词：慢性意识障碍 前庭刺激 昏迷程度 脑功能 

分 类 号：R725.1[医药卫生—儿科] R493[医药卫生—临床医学]