多感官促醒干预模式在重症脑出血术后昏迷患者中的应用分析  

Application Analysis of Multi-Sensory Wake-Up Intervention Model in Coma Patients after Severe Cerebral Hemorrhage Operation

作　　者：黄舒云 康惠珍 黄锦盆 HUANG Shuyun;KANG Huizhen;HUANG Jinpen(Department of Intensive Care Medicine,Xiamen Traditional Chinese Medicine Hospital,Xiamen 361009,Fujian Province,China)

机构地区：[1]厦门市中医院重症医学科,福建厦门361009

出　　处：《中国实用乡村医生杂志》2024年第12期75-78,共4页Chinese Practical Journal of Rural Doctor

摘　　要：目的 探讨对重症脑出血术后昏迷患者应用多感官促醒干预模式的临床价值。方法 选择2021年1月—2023年12月厦门市中医院收治的100例重症脑出血术后昏迷患者,按随机数表法分为对照组和研究组各50例。对照组接受常规干预,研究组在此基础上接受多感官促醒干预模式。比较两组患者的促醒效果、神经功能、昏迷情况和生理功能。结果 研究组睁眼反应、语言反应、肢体神经反射恢复时间及苏醒时间短于对照组,2周内苏醒率高于照组高,差异有统计学意义(P<0.05)。干预2周后,研究组美国国立卫生研究院卒中量表评分、功能障碍评分低于对照组,而格拉斯哥昏迷评分高于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论 在重症脑出血术后昏迷患者中开展多感官促醒干预模式,促醒效果显著,可有效减轻生理功能障碍,促进神经功能改善,减少并发症。Objective To study the clinical value of multi-sensory wake-up intervention model for coma patients after severe cerebral hemorrhage operation.Methods One hundred of coma patients after severe cerebral hemorrhage operation admitted to Xiamen Traditional Chinese Medicine Hospital from January 2021 to December 2023 were sellected,and divided into a control group and a study group,with 50 patients in each group,by a random number table method.The control group received routine intervention,while the study group received a multisensory awakening intervention mode on this basis.The awakening effect,neurological function,coma status,and physiological function between two groups of patients were compared.Results The study group had shorter recovery time of eye opening response,language response,limb nerve reflex,and shorter awakening time compared to the control group,and the awakening rate within 2 weeks was higher than that of the control group(P<0.05).After 2 weeks of intervention,the scores of national institutes of health stroke scale and dysfunction in the study group were lower than those in the control group,while the scores of Glasgow coma scale were higher than those in the control group(P<0.05).The incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion Multi-sensory wake-up intervention mode in coma patients after severe cerebral hemorrhage operation has obvious wake-up effect,which can effectively alleviate physiological dysfunction,promote neurological improvement and reduce complications.

关 键 词：重症脑出血 昏迷 多感官促醒干预模式 神经功能 

分 类 号：R473.74[医药卫生—护理学]