风险管理联合感知刺激对老年脑出血患者认知功能和预后的影响  

Effects of risk management combined with perceptual stimulation on cognitive function and prognosis in elderly patients with cerebral hemorrhage

作　　者：李敏 王园治 陈淑怡 沈慧俊 Li Min;Wang Yuanzhi;Chen Shuyi;Shen Huijun(Department of Critical Care Medicine,Traditional Chinese Medicine Hospital of Dongguan City,Dongguan,Guangdong,523000,P.R.China)

机构地区：[1]东莞市中医院重症医学科,广东东莞523000

出　　处：《老年医学与保健》2025年第1期88-92,共5页Geriatrics & Health Care

摘　　要：目的探讨风险管理联合感知刺激对老年脑出血患者认知功能和预后的影响。方法前瞻性选取2021年1月—2023年12月在东莞市中医院收治的96例老年脑出血患者,采用随机数字表法分为观察组(n=48)和对照组(n=48)。对照组采用常规干预,观察组在与对照组相同干预的基础上加用风险管理联合感知刺激,2组均连续干预3个月。比较2组患者干预前后认知功能、意识状态、神经功能及生活质量情况。结果干预后,2组患者MMSE、MoCA、GCS、EGG及SF-36评分均较同组干预前升高(P<0.05),观察组上述评分均高于对照组(P<0.05);2组NIHSS评分较同组干预前降低(P<0.05),观察组NIHSS评分低于对照组(P<0.05)。结论风险管理联合感知刺激可有效改善老年脑出血患者的认知功能,促进患者意识状态、神经功能恢复,提高生活质量,具有一定的临床应用价值。Objective To explore the effects of risk management combined with perceived stimulation on cognitive function and prognosis in elderly patients with cerebral hemorrhage.Methods A prospective study was conducted on 96 elderly patients with cerebral hemorrhage admitted to Traditional Chinese Medicine Hospital of Dongguan City from January 2021 to December 2023.They were randomly divided into observation group(n=48)and control group(n=48)by a random number table.The control group received routine intervention,while the observation group received risk management combined perception stimulation on the basis of the control group.Both groups were continuously intervened for 3 months.Cognitive function,consciousness status,neurological function,and quality of life were compared between the two groups.Results After the intervention,the scores of MMSE,MoCA,GCS,EEG and SF-36 in both groups were significantly higher than those in the same group before the intervention(P<0.05),and the observation group was higher than the control group(P<0.05);NIHSS scores in both groups were significantly lower than those in the same group before the intervention(P<0.05),and the observation group was lower than the control group(P<0.05).Conclusion The combination of risk management and perceptual stimulation can effectively improve the cognitive function of elderly patients with cerebral hemorrhage,promote the recovery of their consciousness and neurological function,and improve their quality of life.It has certain clinical application value.

关 键 词：老年 脑出血 风险管理 感知刺激 认知功能 预后 

分 类 号：R47[医药卫生—护理学]