基于行为感知联合系统听觉刺激的护理对高血压脑出血术后昏迷患者的影响  

Effect of Nursing Based on Behavioral Perception Combined with System Auditory Stimulation on Comatose Patients after Hypertensive Cerebral Hemorrhage Surgery

作　　者：孙倩倩 孙洁 薛雷 SUN Qianqian;SUN Jie;XUE Lei(The Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China;不详)

机构地区：[1]徐州医科大学附属医院,江苏徐州221000

出　　处：《中外医学研究》2024年第34期106-110,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:评估基于行为感知联合系统听觉刺激的护理对高血压脑出血术后昏迷患者的影响。方法:选取2020年3月—2023年2月徐州医科大学附属医院收治的82例高血压脑出血术后昏迷患者作为研究对象。根据入院顺序进行单双号分组将其分为对照组和试验组,各41例。对照组给予常规护理,试验组在对照组的基础上给予基于行为感知联合系统听觉刺激的护理。比较两组护理前后的昏迷情况、生理状态、神经功能、脑水肿体积,苏醒情况及并发症。结果:护理后,两组格拉斯哥昏迷评分(GCS)升高,功能障碍评分(DFS)及美国国立卫生院卒中量表(NIHSS)评分均降低,试验组GCS评分显著高于对照组,DFS评分、NIHSS评分均显著低于对照组,差异有统计学意义(P<0.05)。护理后,两组脑水肿绝对体积、脑水肿相对体积均降低,试验组脑水肿绝对体积、脑水肿相对体积均显著低于对照组,差异有统计学意义(P<0.05)。试验组苏醒时间短于对照组,苏醒率(87.80%)显著高于对照组(68.29%),差异有统计学意义(P<0.05)。试验组并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论:基于行为感知联合系统听觉刺激的护理能够促进高血压脑出血术后昏迷患者的意识恢复及神经功能改善,且有效降低了治疗并发症的风险。Objective:To evaluate the effect of nursing based on behavioral perception combined with system auditory stimulation on comatose patients after hypertensive cerebral hemorrhage surgery.Method:A total of 82 comatose patients after hypertensive cerebral hemorrhage surgery treated in the Affiliated Hospital of Xuzhou Medical University from March 2020 to February 2023 were selected as the study objects.According to the order of admission for odd and even numbers grouping,the patients were divided into control group and experimental group,with 41 cases in each group.The control group was given routine nursing,and the experimental group was given nursing based on behavioral perception combined with system auditory stimulation.The coma condition,physiological state,neurological function,cerebral edema volume before and after nursing,recovery condition and complications were compared between the two groups.Result:After nursing,Glasgow coma score(GCS)was increased,dysfunction score(DFS)and National Institutes of Health stroke scale(NIHSS)score were decreased in both groups,GCS score in experimental group was significantly higher than that in control group,DFS and NIHSS scores were significantly lower than those in control group,the differences were statistically significant(P<0.05).After nursing,the absolute volume and relative volume of cerebral edema in the two groups were decreased,and the absolute volume and relative volume of cerebral edema in the experimental group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).The recovery time of experimental group was shorter than that of control group,and the recovery rate(87.80%)was significantly higher than that of control group(68.29%),the differences were statistically significant(P<0.05).The incidence of complication of experimental group was significantly lower than that of control group,and the difference was statistically significant(P<0.05).Conclusion:Nursing based on behavioral perception combined with s

关 键 词：行为感知 系统听觉刺激 护理 高血压脑出血 昏迷 

分 类 号：R473.6[医药卫生—护理学]