摘要: |
目的 观察多感官促醒护理干预对高血压性脑出血术后昏迷患者神经功能的影响。方法 采用随机数字表法将2016年9月至2018年6月我院收治的高血压脑出血术后昏迷患者分为两组,每组各40例。对照组实施常规护理,观察组在对照组基础上实施多感官促醒护理干预。观察护理干预前及干预1周、2周、4周时的格拉斯哥昏迷指数(GCS)评分、功能障碍评分量表(DFS)评分及脑功能,并记录两组患者平均苏醒时间及护理干预期间并发症发生情况。结果 干预2周及干预4周,观察组GCS及脑功能评分明显高于对照组,DFS评分低于对照组;观察组苏醒时间(20.56±2.11)d明显低于对照组的(28.22±3.06)d;同时观察组并发症发生率5.0%低于对照组的20.0%,差异均有统计学意义(P<0.01)。结论 多感官促醒护理模式能够有效促进高血压性脑出血术后昏迷患者的神经功能恢复及早期苏醒,降低并发症,可以推广应用。 |
关键词: 多感官促醒 护理干预 高血压性脑出血 昏迷 苏醒时间 |
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The effect of multi-sensory arousal intervention on brain function in postoperative coma patients with hypertensive intracerebral hemorrhageZHOU Kun |
周坤
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Department of Cardiovascular Diseases, Hongda Hospital, Henan Province
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Abstract: |
Objective To investigate the effect of multi-sensory arousal intervention on brain function in postoperative coma patients with hypertensive intracerebral hemorrhage.Methods A total of 80 patients with postoperative coma patients with hypertensive intracerebral hemorrhage were divided into the control group and the observation group form September 2016 to June 2018 by the random number table method, with 40 cases in each group. The control group was given routine nursing care, the observation was given multi-sensory arousal intervention nursing based on the control group. The coma score, dysfunction score, brain function score, awakening time and complication rate were compared between the two groups before and after nursing.Results The coma score and brain function score of observation group were higher than those of the control groups at 2, 4 weeks after nursing. The score of dysfunction and average awakening time of the observation group were lower than those in the control group after 2 weeks of nursing, and the difference was statistically significant.Conclusion Multi-sensory arousal intervention can promote postoperative coma patients with hypertensive intracerebral hemorrhage awake, improve brain function, and reduce complications. |
Key words: Multi-sensory arousal intervention Nursing intervention Hypertensive intracerebral hemorrhage coma Awakening time |