摘要
目的:探讨唤醒式干预对重度颅脑损伤患者转清醒时间及昏迷指数的影响。方法:采用回顾性分析,将笔者所在医院2019年6-12月行常规护理的43例重度颅脑损伤昏迷患者纳入对照组,将2020年1-7月行唤醒式干预的43例重度颅脑损伤昏迷患者纳入观察组,比较两组清醒率、清醒时间与格拉斯哥昏迷评分(GCS)。结果:干预开始后第4周,观察组清醒率高于对照组,清醒时间早于对照组,差异均有统计学意义(P<0.05);干预2周后,两组GCS评分均高于干预前,且观察组评分高于对照组,差异均有统计学意义(P<0.05)。结论:在重度颅脑损伤患者中采用唤醒式干预可降低患者昏迷程度,加速患者清醒。
Objective:To explore the effect of wake-up intervention on the recovery time and coma index of patients with severe craniocerebral injury.Method:By retrospective analysis,43 patients with severe craniocerebral injury who received routine care from June to December 2019 in the author’s hospital were included in the control group,and 43 patients with severe craniocerebral injury who received wake-up intervention from January to July 2020 were included in the observation group.The wake-up rate,wake-up time and Glasgow coma score(GCS)of the two groups were compared.Result:At the 4th week after the intervention,the wakefulness rate in the observation group was higher than that in the control group,and the wakefulness time was earlier than that in the control group,the differences were statistically significant(P<0.05).After 2 weeks of intervention,the GCS scores of both groups were higher than before,and the score in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:In patients with severe craniocerebral injury,wake-up intervention can reduce the degree of coma and accelerate the recovery of patients.
作者
谭艳华
TAN Yanhua(The Second Affiliated Hospital of Nanhua University,Hengyang 421001,China)
出处
《中外医学研究》
2021年第14期119-121,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
重度颅脑损伤
唤醒式干预
清醒时间
昏迷指数
Severe craniocerebral injury
Wake-up intervention
Awake time
Coma index