摘要
目的:观察多感官促醒护理在高血压脑出血术后昏迷患者中的应用效果。方法:选取2022年2月至2023年2月该院收治的90例高血压脑出血术后昏迷患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各45例。对照组采用常规护理,观察组在对照组基础上采用多感官促醒护理,比较两组护理前后格拉斯哥昏迷量表(GCS)评分、昏迷恢复量表(CRS-R)评分、苏醒率、神经功能缺损[美国国立卫生研究院卒中量表(NIHSS)]评分和护理期间并发症发生率。结果:护理后,两组GCS、CRS-R评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组不同时间苏醒率和总苏醒率均高于对照组,差异有统计学意义(P<0.05);护理2、4周后,两组NIHSS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:在常规护理基础上采用多感官促醒护理可提高高血压脑出血术后昏迷患者GCS评分、CRS-R评分和苏醒率,降低NIHSS评分,效果优于单纯常规护理。
Objective:To observe application effects of multisensory stimulation nursing in postoperative coma patients after hypertensive cerebral hemorrhage.Methods:A prospective study was conducted on 90 postoperative patients with coma after hypertensive cerebral hemorrhage admitted to the hospital from February 2022 to February 2023.They were divided into observation group and control group by using the random number table method,45 cases in each group.The control group was given routine nursing,while the observation group was given the multisensory stimulation nursing on the basis of that of the control group.The Glasgow coma scale(GCS)score,the Coma recovery scale(CRS-R)score,the awakening rate,the neurological deficit[National Institutes of Health stroke scale(NIHSS)]score before and after the nursing,and the incidence of complications during nursing were compared between the two groups.Results:After the nursing,the GCS and CRS-R scores of the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The awakening rate at different time and the total awakening rate in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After 2 and 4 weeks of nursing,the NIHSS scores of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:On the basis of the routine nursing,the multisensory stimulation nursing can improve the GCS scores,the CRS-R scores and the awakening rate of the postoperative coma patients after hypertensive cerebral hemorrhage,and reduce the NIHSS scores.Moreover,it is superior to simple routine nursing.
作者
高茹
GAO Ru(Second Department of Neurological Surgery of Zhumadian Central Hospital,Zhumadian 463000 Henan,China)
出处
《中国民康医学》
2024年第15期169-172,共4页
Medical Journal of Chinese People’s Health
关键词
高血压脑出血
多感官促醒护理
神经功能缺损
昏迷评分
苏醒
并发症
Hypertensive cerebral hemorrhage
Multisensory stimulation nursing
Neurological deficit
Coma score
Awakening
Complication
