首页|基于危险因素筛查的干预策略结合体感音乐疗法对重症脑卒中重症监护病房获得性神经肌肉障碍的预防价值

基于危险因素筛查的干预策略结合体感音乐疗法对重症脑卒中重症监护病房获得性神经肌肉障碍的预防价值

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目的 探究基于危险因素筛查的干预策略结合体感音乐疗法对重症脑卒中重症监护病房获得性神经肌肉障碍(ICU-AW)的预防价值。方法 选择 2019 年3 月至2021年 5月收治的108 例重症脑卒中患者为研究对象,以随机数字表法将其分为对照组和观察组,各 54例。对照组接受常规护理,观察组在对照组基础上实施基于危险因素筛查的干预策略结合体感音乐疗法。比较两组的干预效果。结果 出ICU时,观察组的英国医学研究理事会量表(MRCs)评分、肌肉总含量、骨骼肌含量高于对照组(P<0。05);观察组的ICU-AW发生率低于对照组(P<0。05)。出ICU时,观察组的多巴胺(DA)、五羟色胺(5-HT)水平高于对照组(P<0。05)。出ICU时,观察组的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分低于对照组(P<0。05)。结论 基于危险因素筛查的干预策略结合体感音乐疗法用于重症脑卒中患者中不仅可以改善肌肉功能,降低ICU-AW发生率,还能调节神经递质水平,改善心理状态,值得推广。
Preventive value of intervention strategy based on risk factor screening combined with somatosensory music therapy for intensive care unit-acquired weakness of severe stroke
Objective To explore the preventive value of intervention strategy based on risk factor screening combined with somatosensory music therapy for intensive care unit-acquired weakness(ICU-AW)of severe stroke.Methods A total of 108 patients with severe stroke admitted from March 2019 to May 2021 were selected as the research objects and divided into control group and observation group by random number table method,with 54 cases in each group.The control group received routine nursing,and the observation group implemented intervention strategy based on risk factor screening combined with somatosensory music therapy on the basis of the control group.The intervention effects of the two groups were compared.Results At the time of leaving ICU,the Medical Research Council Score(MRCs)score,total muscle content and skeletal muscle content of the observation group were higher than those of the control group(P<0.05);the incidence of ICU-AW in the observation group was lower than that in the control group(P<0.05).At the time of leaving ICU,the levels of dopamine(DA)and 5-hydroxytryptamine(5-HT)in the observation group were higher than those in the control group(P<0.05).At the time of leaving ICU,the scores of Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Acale(SAS)in the observation group were lower than those in the control group(P<0.05).Conclusion Intervention strategy based on risk factor screening combined with somatosensory music therapy in patients with severe stroke can not only improve muscle function,reduce the incidence of ICU-AW,but also regulate neurotransmitter levels and improve mental state,which is worthy of promotion.

intervention strategy based on risk factor screeningsomatosensory music therapysevere strokeintensive care unit-acquired weakness

郭明、阴玥

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安康市中心医院,陕西 安康,725000

基于危险因素筛查的干预策略 体感音乐疗法 重症脑卒中 重症监护病房获得性神经肌肉障碍

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(10)
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