自然之声音乐疗法对脑创伤昏迷患者的促醒作用  

Awakening effect of music therapy based on natural sounds on patients with brain trauma and coma

作　　者：郝习君 马潇斌 王尚书 杨美琪 郭全荣 宋琼 陈长香 Hao Xijun;Ma Xiaobin;Wang Shangshu(Department of Nursing and Rehabilitation Medicine,North China University of Science and Technology,Tangshan 063210,China)

机构地区：[1]华北理工大学护理与康复学院,河北唐山063210

出　　处：《华北理工大学学报（医学版）》2024年第3期233-238,共6页Journal of North China University of Science and Technology：Health Sciences Edition

基　　金：河北省科技厅重点研发项目(编号:22377758D)。

摘　　要：目的探讨基于自然之声的音乐疗法在脑创伤昏迷患者中的应用效果。方法选取2022年6月~2023年6月唐山工人医院神经外科重症监护室治疗的脑创伤昏迷患者70例作为研究对象,随机分为对照组和观察组,每组各35例。对照组给予脑创伤常规治疗和护理,观察组在对照组基础上给予基于自然之声的音乐疗法。分别于干预前后使用格拉斯哥(GCS)评分量表和昏迷恢复量表(CRS-R)评估患者意识情况及苏醒情况。结果干预前,两组患者GCS评分、CRS-R评分比较差异无统计学意义(P>0.05)。干预后,观察组的GCS评分、CRS-R评分、平均昏迷时间、苏醒率均优于对照组(P<0.05)。结论基于自然之声的音乐疗法可以促进脑创伤昏迷患者意识的恢复,缩短昏迷时间。Objective To explore the application effect of music therapy based on natural sounds in patients with brain trauma and coma.Methods A total of 70 patients with brain trauma and coma treated in the neurosurgical intensive care unit of Tangshan Worker's Hospital from June 2022 to June 2023 were selected as the research subjects and randomly divided into a control group and an observation group,with 35 patients in each group.The control group received conventional treatment and care for brain trauma,while the observation group received music therapy based on natural sounds in addition to the treatment of the control group.The Glasgow Coma Scale(GCS)and Coma Recovery Scale-Revised(CRS-R)were used to assess the patients'consciousness and awakening status before and after the intervention.Results Before the intervention,there was no significant difference in GCS and CRS-R scores between the two groups(P>0.05).After the intervention,the GCS score,CRS-R score,average coma duration,and awakening rate in the observation group were better than those in the control group(P<0.05).Conclusion Music therapy based on natural sounds can promote the recovery of consciousness and shorten the coma duration in patients with brain trauma and coma.

关 键 词：脑创伤 昏迷 自然之声 促醒 

分 类 号：R473.6[医药卫生—护理学]