刺激性护理干预对创伤性脑损伤昏迷病人促醒效果和神经功能恢复的影响

发布时间：2018-01-16 05:34

本文关键词：刺激性护理干预对创伤性脑损伤昏迷病人促醒效果和神经功能恢复的影响　出处：《护理研究》2017年12期 　论文类型：期刊论文

【摘要】：[目的]探讨刺激性护理干预对创伤性脑损伤昏迷病人促醒效果和神经功能恢复的影响。[方法]选择2013年5月—2015年5月我院收治的创伤性脑损伤昏迷病人78例,随机分成两组各39例。对照组行常规护理,研究组在常规护理基础上进行刺激性护理干预,比较两组病人清醒情况、神经功能恢复情况及预后情况等。[结果]研究组15d清醒25例,30d清醒37例,对照组15d清醒11例,30d清醒19例,两组比较差异有统计学意义(P0.05);研究组清醒时间(21.09d±3.42d)短于对照组(29.48d±3.28d),两组比较差异有统计学意义(P0.05);研究组治疗6周后Karnofsky评分为72.49分±6.41分,日常生活活动能力量表(ADL)评分为62.57分±5.80分,格拉斯哥昏迷指数(GCS)评分为9.94分±2.41分,对照组治疗6周后Karnofsky评分为60.93分±4.58分,ADL评分为47.61分±4.25分,GCS评分为7.76分±1.45分,两组比较差异均有统计学意义(P0.05);研究组并发症发生率(5.13%)低于对照组(53.85%),两组比较差异有统计学意义(P0.05)。[结论]创伤性脑损伤昏迷病人采用刺激性护理干预能促进神经功能恢复,缩短清醒时间,改善预后情况,降低并发症发生率。
[Abstract]:[Objective] to explore the effect of stimulant nursing intervention on the recovery of neuronal function and the effect of stimulating nursing intervention on coma patients with traumatic brain injury. [Methods] Seventy-eight patients with traumatic brain injury coma admitted in our hospital from May 2013 to May 2015 were randomly divided into two groups: 39 cases in each group. The control group was given routine nursing. On the basis of routine nursing, the patients in the study group were treated with stimulant nursing intervention to compare the recovery of neurological function and prognosis between the two groups. [Results: there were 37 cases in the study group and 19 cases in the control group in the 15 day group and the control group respectively. The difference between the two groups was statistically significant (P 0.05). The waking time of the study group (21.09 卤3.42 days) was shorter than that of the control group (29.48 卤3.28 days), and the difference between the two groups was statistically significant (P 0.05). After 6 weeks of treatment, the scores of Karnofsky and ADL were 72.49 卤6.41 and 62.57 卤5.80 respectively. The Glasgow coma Index (Glasgow coma Index) score was 9.94 卤2.41, and the Karnofsky score in the control group was 60.93 卤4.58 after 6 weeks of treatment. The ADL score was 47.61 卤4.25 and 7.76 卤1.45 respectively. The difference between the two groups was statistically significant (P 0.05). The incidence of complications in the study group (5.13) was lower than that in the control group (53.85%), and the difference between the two groups was statistically significant (P 0.05). [Conclusion: the stimulative nursing intervention can promote the recovery of nerve function, shorten the waking time, improve the prognosis and reduce the incidence of complications in the patients with traumatic brain injury coma.
【作者单位】：南通大学附属医院;
【基金】：南通市科技项目,编号:HS2012030
【分类号】：R473.6
【正文快照】： 创伤性脑损伤是指暴力作用于头部引起的颅脑组织损伤,病情发展快,威胁病人生命安全[1]。由于临床医学的不断进步,创伤性脑损伤病人大多能脱离生命危险,但是因为病人脑干、下丘脑、皮层等受到损伤,会引起意识障碍,导致病人昏迷,昏迷时间越长,并发症越多,预后越差,死亡率越高,给

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