摘要
目的探讨多感官促醒护理模式在高血压性脑出血(HICH)术后昏迷患者中的应用效果。方法选取2018年1月~2019年2月我院收治的62例HICH术后昏迷患者,按照随机数字表法分为两组,每组各31例。对照组予以常规护理模式,研究组予以多感官促醒护理模式。比较两组苏醒情况、格拉哥昏迷量表(GCS)、功能障碍量表(DFS)评分、乙酰胆碱(ACh)、去甲肾上腺素(NE)、多巴胺(DA)及并发症发生情况。结果研究组苏醒情况优于对照组,差异有统计学意义(P<0.05)。研究组GCS评分、ACh、NE、DA水平高于对照组,DFS评分低于对照组,差异均有统计学意义(P<0.05)。研究组便秘、肢体痉挛畸形、压疮、下肢静脉血栓并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论HICH术后昏迷患者采用多感官促醒护理模式可调节相关神经递质释放,加快患者苏醒,降低并发症发生率。
Objective To explore the effect of multi-sensory wake-up nursing mode in patients with coma after hypertensive intracerebral hemorrhage(HICH).Methods Sixty-two patients with coma after HICH admitted to our hospital from January 2018 to February 2019 were selected and divided into two groups according to the random number method,31 cases in each group.The control group was given routine nursing mode,and the study group was given multiple-sensory wake-up nursing mode.The wakefulness of the two groups,the Glasgow coma scale(GCS),the dysfunction scale(DFS)scores,acetylcholine(Ach),norepinephrine(NE),dopamine(DA),and complications were compared.Results The recovery of the study group was better than that of the control group,and the difference was statistically significant(P<0.05).The GCS score,Ach,NE,and DA levels in the study group were higher than those in the control group,and the DFS score was lower than that in the control group,the differences were statistically significant(P<0.05).The incidence rates of constipations,such as limb paralysis,pressure sore,and lower extremity venous thrombosis were lower in the study group than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Patients with coma after HICH use multi-sensory wake-up nursing mode can regulate the release of related neurotransmitters,accelerate patient recovery,and reduce the incidence of complications.
作者
陈秀珍
CHEN Xiu-zhen(ICU,Dongguan Dalingshan Hospital,Guangdong Province,Dongguan523820,China)
出处
《中国当代医药》
2020年第15期216-218,222,共4页
China Modern Medicine
基金
广东省东莞市社会科技发展(一般)项目(201650715001043)。
关键词
高血压性脑出血
昏迷
多感官促醒护理模式
神经功能
Hypertensive cerebral hemorrhage
Coma
Multi-sensory wake-up nursing mode
Neurological function
