不同时长正中神经电刺激对意识障碍患者促醒的效果
Effect of Different Lengths of MNS in Promoting Awakening in Patients with Consciousness Disorders
田玲玲 1谌秘 2邵秀芹 3熊淑琴 3邹田子3
作者信息
- 1. 南昌大学第一附属医院康复医学科,南昌 330006;西安交通大学第一附属医院护理部,西安 710061
- 2. 南昌大学第四附属医院教务科,南昌 330006
- 3. 南昌大学第一附属医院康复医学科,南昌 330006
- 折叠
摘要
目的 探讨正中神经电刺激(MNS)对促进意识障碍患者苏醒(促醒)的最佳治疗时长.方法 选取2019-2020年收治的意识障碍患者60例,将其按随机数字表法分为对照组(n=30)与观察组(n=30).2组均在常规康复治疗的基础上加用MNS治疗.观察组和对照组每日MNS时长分别为8、2 h,其频率(50 Hz)、脉宽(300μs)均相同,30 d为一疗程,共治疗3个疗程.治疗前后,均采用格拉斯哥昏迷量表(Glasgow coma scale,GCS)评估患者意识障碍的严重程度,采用修订版昏迷恢复量表(coma recovery scale-revised,CRS-R)评估昏迷后意识障碍程度;另记录2组治疗后的昏迷时长.结果 相较治疗前,2组患者治疗后的GCS和CRS-R评分更高、CRS-R等级更优(P＜0.001);且治疗后观察组GCS和CRS-R评分高于对照组,CRS-R等级优于对照组(P＜0.05).观察组昏迷时长短于对照组[(26.80±8.39)d比(22.10±4.72)d,t=-2.67、P＜0.05].结论 MNS治疗时长设置为8 h时促醒效果更为明显.
Abstract
Objective To investigate the optimal treatment duration of median nerve stimula-tion(MNS)for promoting awakening(pro-arousal)in patients with consciousness disorders.Methods 60 patients with consciousness disorders admitted to our hospital from 2019 to 2020 were randomly divided into the control group(n=30)and the experimental group(n=30).Both groups were treated with MNS on the basis of conventional awakening methods.The daily dura-tion of MNS in the experimental group and the control group was 8 and 2 h,respectively,with the same frequency(50 Hz)and pulse width(300 μs),and 30 d was a course of treatment,with a total of 3 courses of treatment.Before and after treatment,the severity of the patients'impaired con-sciousness was assessed using the Glasgow coma scale(GCS),and the degree of impaired con-sciousness after coma was assessed using the coma recovery scale-revised(CRS-R);the length of coma after treatment was also recorded in the 2 groups.Results Compared with the pre-treat-ment,the patients in the 2 groups had higher GCS and CRS-R scores and better CRS-R grades af-ter treatment(P＜0.001);and the GCS and CRS-R scores in the experimental group were higher than those in the control group,and the CRS-R grades were better than those in the control group after treatment(P＜0.05).The length of coma in the experimental group was shorter than that in the control group[(26.80±8.39)d vs(22.10±4.72)d,t=-2.67,P＜0.05].Conclusion Our findings suggest that electrical stimulation of median nerve for 8 hours can effectively promote the recovery of patients with consciousness disorders.
关键词
意识障碍/正中神经电刺激/昏迷时长/促进意识障碍患者苏醒/康复Key words
consciousness disorders/median nerve electrical stimulation/length of coma/promotion of awakening in patients with impaired consciousness/rehabilitation引用本文复制引用
基金项目
江西省卫生健康委科技项目(202130145)
出版年
2024
NETL
NSTL
维普
万方数据