首页|四感联合促醒刺激在高血压基底节脑出血术后昏迷患者中的应用效果

四感联合促醒刺激在高血压基底节脑出血术后昏迷患者中的应用效果

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目的:探讨四感联合促醒刺激在高血压基底节脑出血术后昏迷患者中的应用效果。方法:选取 2021 年 10 月—2022 年 10 月南华大学附属第二医院收治的 130 例高血压基底节脑出血术后昏迷患者。根据随机数表法将其分为试验组和参照组,各 65 例。参照组采用常规术后护理,试验组在对照组基础上给予四感联合促醒刺激。比较两组苏醒情况,干预前后昏迷程度、功能障碍、神经递质及并发症。结果:试验组苏醒时间明显早于参照组,4 周内苏醒率明显高于参照组,差异有统计学意义(P<0。05)。干预后,两组格拉斯哥昏迷量表(GCS)评分升高,功能障碍量表(DFS)评分降低,试验组GCS评分高于参照组,DFS评分低于参照组,差异有统计学意义(P<0。05)。干预后,两组去甲肾上腺素(NE)、乙酰胆碱(Ach)和多巴胺(DA)水平均升高,试验组NE、Ach、DA水平均明显高于参照组,差异有统计学意义(P<0。05)。试验组并发症发生率明显低于参照组,差异有统计学意义(P<0。05)。结论:四感联合促醒刺激可促进高血压基底节脑出血术后昏迷患者苏醒,改善神经递质水平,减少并发症。
Application Effect of Four Senses Combined with Awakening Stimulation in Coma Patients after Hypertensive Basal Ganglia Cerebral Hemorrhage Surgery
Objective:To study the application effect of four senses combined with awakening stimulation in coma patients after hypertensive basal ganglia cerebral hemorrhage surgery.Method:A total of 130 patients with coma after hypertensive basal ganglia cerebral hemorrhage admitted to the Second Affiliated Hospital of University of South China from October 2021 to October 2022 were selected.According to random number table method,they were divided into experimental group and reference group,with 65 cases in each group.The reference group received conventional postoperative nursing,and the experimental group received four senses combined awakening stimulation on the basis of the control group.The recovery condition,the degree of coma and dysfunction,neurotransmitters before and after intervention and complications of the two groups were compared.Result:The recovery time of experimental group was significantly earlier than that of reference group,and the recovery ratio within 4 weeks was significantly higher than that of reference group,the differences were statistically significant(P<0.05).After intervention,the score of Glasgow coma scale(GCS)was increased and the score of dysfunction scale(DFS)was decreased in both groups,the GCS score of experimental group was higher than that of reference group,and the DFS score was lower than that of reference group,the differences were statistically significant(P<0.05).After intervention,the levels of norepinephrine(NE),acetylcholine(Ach)and dopamine(DA)in both groups were increased,and the levels of NE,Ach and DA in experimental group were significantly higher than those in reference group,the differences were statistically significant(P<0.05).The incidence of complications in experimental group was significantly lower than that in reference group,the difference was statistically significant(P<0.05).Conclusion:Four senses combined awakening stimulation can promote the recovery of coma patients after hypertensive basal ganglia cerebral hemorrhage surgery,improve the level of neurotransmitter and reduce complications.

Four senses combined awakening stimulatingHypertensive basal ganglia cerebral hemorrhageComa after surgeryApplication effect

王彦卿

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南华大学附属第二医院 湖南 衡阳 421001

四感联合促醒刺激 高血压基底节脑出血 术后昏迷 应用效果

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(22)