摘要
目的研究四感联合苏醒刺激对高血压脑出血术后昏迷患者的效果。方法选取安阳市人民医院2020年1—12月收治的120例高血压脑出血术后昏迷患者作为研究对象,根据护理方法分为观察组(四感联合苏醒刺激护理组)与对照组(常规护理组),各60例。比较两组患者术后昏迷时间、格拉斯哥昏迷评分、功能障碍评分及并发症发生情况。结果干预前两组患者功能障碍评分与昏迷评分比较,差异无统计学意义(P>0.05)。与干预前比较,干预后两组功能障碍评分下降,昏迷评分升高,差异有统计学意义(P<0.05);干预后,观察组功能障碍评分低于对照组,昏迷评分高于对照组,昏迷时间短于对照组(P<0.05);观察组患者各类脑出血术后并发症发生率低于对照组(P<0.05)。结论四感联合苏醒刺激应用于高血压脑出血术后昏迷患者,可缩短患者昏迷时间,减轻意识障碍程度,降低术后昏迷相关并发症风险。
Objective To study the value of four senses combined with awakening stimulation in coma patients after operation of hypertensive intracerebral hemorrhage.Methods A total of 120 patients with coma after operation of hypertensive intracerebral hemorrhage in Anyang People’s Hospital from January to December of 2020 were selected as the research objects.The patients were divided into observation group(four senses combined with awakening stimulation nursing group)and control group(routine nursing group)by the nursing methods,60 cases in each group.The coma time,Glasgow coma score,dysfunction score and complication rate were compared between the two groups.Results Glasgow coma score and dysfunction score were different between the two groups before intervention(P>0.05).After intervention,the dysfunction score was decreased,and Glasgow coma score was increased in both groups(P<0.05).The dysfunction score in the observation group was lower than that in the control group,Glasgow coma score were higher than that in the control group,and the coma time was shorter than that in the control group(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion Postoperative coma patients with hypertensive intracerebral hemorrhage accept four senses combined with wake-up stimulation can speed up the wake-up process,improve the physiological state,reduce the degree of consciousness disorder,and reduce the risk of postoperative coma related complications.
作者
张艳利
王双
邢郑丽
ZHANG Yanli;WANG Shuang;XING Zhengli(Neurology Department Ward Two,Anyang People’s Hospital,Anyang 455000,China)
出处
《河南医学研究》
CAS
2021年第15期2861-2864,共4页
Henan Medical Research
关键词
高血压脑出血
术后昏迷
促醒干预
四感联合刺激
功能恢复
hypertensive intracerebral hemorrhage
postoperative coma
wake promoting intervention
four senses combined stimulation
functional recovery
