摘要
目的探讨重型颅脑外伤后持续性植物状态患者的促醒与康复。方法对２９例重型颅脑外伤后持续性植物状态患者（Ｇｌａｔｇｏｗ昏迷量表评分３－８分）进行中西医结合促醒治疗，醒后进行认知训练和语言治疗及精心护理。结果２９例患者中２６例被促醒（８９.７％），醒后能参加简单工作的５例（１７．２％）、生活能基本自理的１４例（４８．３％）、需要他人协助生活的５例（１７．２％）、生活完全依靠他人的２例（６．９％）、未醒３例 （ １０．３％）。结论重型颅脑外伤后持续性植物状态患者经过早期积极的中西医结合促醒治疗及醒后的认知训练和语言治疗可以得到最大限度的的康复。植物状态持续时间越长，促醒越困难，醒后留有残疾越重。
Objective To investigate the treatment of patients in persistent vegetative state following severe brain injury. Method Twenty-nine such patients with a Glasgow Coma Scale score of 8 or less treated in our department were enrolled for this investigation. Comprehensive treatment combining both western medicine and traditional Chinese medicine was administered for the recovery of consciousness, after which cognitive training, speech therapy and attentive nursing were carried out. Results Twent-six patients regained consciousness (86.7%), of whom 5 patients (17.2%) could afford simple work, 14 patients (48.3%) could live with basic independence, 5 patients (17.2%) could not live independently, and 2 patients (6.9%) relied entirely on others. The other 3 patients remained in vegetative state (10.3%). Conclusion With early positive comprehensive treatment combining both western medicine and traditional Chinese medicine, along with cognitive training and speech therapy after regaining consciousness, the patients in persistent vegetative state with severe brain injury may ultimately recover. The longer the patients stayed in vegetative state, the more difficult it was for them to recover and more severe the disability was after regaining consciousness.
出处
《第一军医大学学报》
CSCD
2000年第2期134-136,共3页
Journal of First Military Medical University
