刺激性干预在老年创伤性颅脑损伤昏迷患者中的应用

doi:10.3761/j.issn.0254-1769.2020.02.012

摘要/Abstract

摘要：

目的探讨刺激性干预应用于老年创伤性颅脑损伤昏迷患者中的效果。方法便利选取2017年2月—2019年2月南通市某三级甲等医院收治的老年创伤性颅脑损伤昏迷患者92例作为研究对象,按入院时间分为试验组和对照组,每组各46例。试验组行刺激性干预,对照组行常规干预。比较两组清醒情况、神经功能恢复情况、日常生活能力变化及相关并发症的发生率。结果试验组干预15 d、30 d内清醒率,格拉斯哥昏迷指数评定量表评分,日常生活能力评分均高于对照组,差异有统计学意义（P<0.05）;试验组昏迷时间短于对照组,总并发症发生率低于对照组,差异有统计学意义（P<0.05）。结论刺激性干预应用于老年创伤性颅脑损伤昏迷患者中可加快清醒,促进神经功能恢复,提高日常生活能力,降低并发症发生率。

关键词: 刺激性干预, 昏迷, 脑损伤后, 神经功能, 日常生活能力, 老年护理学

Abstract:

Objective To investigate the effect of stimulation intervention in elderly patients with traumatic brain injury and coma. Methods A total of 92 elderly patients with traumatic brain injury and coma admitted to a Grade III Level I hospital in Nantong city from February 2017 to February 2019 were enrolled by convenient sampling. They were allocated into the experimental group and the control group with 46 cases in each group based on the time of admission and the random number table. The control group received routine intervention,while the experimental group received stimulatory intervention. The awake situation,neurological recovery before and after intervention,changes in activities of daily living and complication rate were compared between the two groups. Results The awake rates of the experimental group within 15 and 30 days were higher than those of the control group,and the GCS score and ADL score of the experimental group after intervention were higher than those of the control group. The differences were statistically significant（P<0.05）. The coma time of the experimental group was shorter than that of the control group,and the total complication rate of the experimental group was lower than that of the control group,with a statistical difference（P<0.05）. Conclusion Stimulation intervention can be used to accelerate wakefulness,improve neurological function,improve activities of daily living and reduce the incidence of complications in elderly patients with traumatic brain injury and coma.

Key words: Stimulation Intervention, Coma, Post Brain Injury, Neurological Function, Activities of Daily Living, Geriatric Nursing

顾宇丹, 费雅雅, 秦殊, 黄庆锋. 刺激性干预在老年创伤性颅脑损伤昏迷患者中的应用[J]. 中华护理杂志, 2020, 55(2): 228-231.

GU Yudan, FEI Yaya, QIN Shu, HUANG Qingfeng. Effect analysis of stimulation intervention in elderly patients with traumatic brain injury and coma[J]. Chinese Journal of Nursing, 2020, 55(2): 228-231.

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