亲情抚触联合呼唤法对重型脑损伤昏迷患者促醒的临床价值(1)
[摘要] 目的 探讨亲情抚触联合呼唤法对重型脑损伤昏迷患者促醒的临床价值。 方法 选取本院2010年10月～2013年12月诊治的44例重型脑损伤昏迷患者作为研究对象，随机分为对照组和观察组，各22例。对照组给予常规治疗及护理，观察组在对照组的基础上给予亲情抚触联合呼唤法，比较两组的苏醒情况及患者家属满意度。 结果 观察组的苏醒率、患者家属满意度显著高于对照组，差异有统计学意义(P<0.05)。观察组的苏醒时间显著短于对照组，差异有统计学意义(P<0.05)。观察组治疗2、3、4周时的GCS评分显著高于对照组，差异有统计学意义(P<0.05)。 结论 亲情抚触联合呼唤法对重型脑损伤昏迷患者有明显的促醒效果，可明显缩短患者的苏醒时间。
[关键词] 亲情抚触联合呼唤法；重型脑损伤；昏迷；促醒
[中图分类号] R651.1+5 [文献标识码] A [文章编号] 1674-4721(2015)02(a)-0193-03
Clinical value of family touch combined with calling method in waking up of coma patient with severe brain injury
MA Jing
Department of the Second Cerebral Surgery，Heilongjiang Provincial Hospital，Harbin 150000，China
[Abstract] Objective To explore clinical value of family touch combined with calling method in waking up of coma patient with severe brain injury. Methods 44 coma patients with severe brain injury from October 2010 to December 2013 in our hospital were selected and randomly divided into the observation group and the control group，22 cases in each group.The control group was given routine treatment and nursing care，the observation group was given family touch combined with calling method on the basis of the control group.Wake conditions and satisfaction of family members of patient in two groups was compared. Results Recovery rate and satisfaction of family members of patient in the observation group was significantly higher than that in the control group，with significant difference(P<0.05). Recovery time in the observation group was significantly shorter than that in the control group，with significant difference(P<0.05).GCS scores at treatment 2，3，4 weeks in the observation group was significantly higher than that in the control group，with significant difference(P<0.05). Conclusion Family touch combined with calling method has significant wake-promoting effect in coma patients with severe brain injury，which can significantly shorten recovery time.
[Key words] Family touch combined with calling method；Severe brain injury；Coma；Wake up
重型脑损伤是较为常见的神经外科急重症，而昏迷是较为常见的后遗症，具有较高的致死率和致残率[1-2]，能够直接危及患者的生命，影响患者的预后。呼唤法护理干预可以在一定程度上调整神经元的兴奋性，协助建立神经功能网络，帮助机体实现功能重建，起到重塑的效果[3-4]。本研究选取本院收治的44例重型脑损伤昏迷患者作为研究对象，探讨亲情抚触联合呼唤法对重型脑损伤昏迷患者促醒的临床价值。
1 资料与方法
1.1 一般资料
选取本院2010年10月～2013年12月诊治的44例重型脑损伤昏迷患者作为研究对象。纳入标准：受伤到入院时间为2～9 h，平均(4.3±1.2) h；GCS评分为3～8分，平均(5.1±0.7)分。排除患有其他器质性疾病、血液性疾病、免疫性疾病、精神疾病、感染性疾病的患者。采用随机数字表法分为两组，各22例。对照组中，男性14例，女性8例；年龄为16～70岁，平均(43.2±10.7)岁；致伤原因：车祸伤18例，高处坠落伤3例，打击伤1例。观察组中，男性13例，女性9例；年龄为15～71岁，平均(42.9±11.3)岁；致伤原因：车祸伤16例，高处坠落伤4例，打击伤2例。两组的年龄、性别、受伤到入院时间、GCS评分等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。 (马静)
[关键词] 亲情抚触联合呼唤法；重型脑损伤；昏迷；促醒
[中图分类号] R651.1+5 [文献标识码] A [文章编号] 1674-4721(2015)02(a)-0193-03
Clinical value of family touch combined with calling method in waking up of coma patient with severe brain injury
MA Jing
Department of the Second Cerebral Surgery，Heilongjiang Provincial Hospital，Harbin 150000，China
[Abstract] Objective To explore clinical value of family touch combined with calling method in waking up of coma patient with severe brain injury. Methods 44 coma patients with severe brain injury from October 2010 to December 2013 in our hospital were selected and randomly divided into the observation group and the control group，22 cases in each group.The control group was given routine treatment and nursing care，the observation group was given family touch combined with calling method on the basis of the control group.Wake conditions and satisfaction of family members of patient in two groups was compared. Results Recovery rate and satisfaction of family members of patient in the observation group was significantly higher than that in the control group，with significant difference(P<0.05). Recovery time in the observation group was significantly shorter than that in the control group，with significant difference(P<0.05).GCS scores at treatment 2，3，4 weeks in the observation group was significantly higher than that in the control group，with significant difference(P<0.05). Conclusion Family touch combined with calling method has significant wake-promoting effect in coma patients with severe brain injury，which can significantly shorten recovery time.
[Key words] Family touch combined with calling method；Severe brain injury；Coma；Wake up
重型脑损伤是较为常见的神经外科急重症，而昏迷是较为常见的后遗症，具有较高的致死率和致残率[1-2]，能够直接危及患者的生命，影响患者的预后。呼唤法护理干预可以在一定程度上调整神经元的兴奋性，协助建立神经功能网络，帮助机体实现功能重建，起到重塑的效果[3-4]。本研究选取本院收治的44例重型脑损伤昏迷患者作为研究对象，探讨亲情抚触联合呼唤法对重型脑损伤昏迷患者促醒的临床价值。
1 资料与方法
1.1 一般资料
选取本院2010年10月～2013年12月诊治的44例重型脑损伤昏迷患者作为研究对象。纳入标准：受伤到入院时间为2～9 h，平均(4.3±1.2) h；GCS评分为3～8分，平均(5.1±0.7)分。排除患有其他器质性疾病、血液性疾病、免疫性疾病、精神疾病、感染性疾病的患者。采用随机数字表法分为两组，各22例。对照组中，男性14例，女性8例；年龄为16～70岁，平均(43.2±10.7)岁；致伤原因：车祸伤18例，高处坠落伤3例，打击伤1例。观察组中，男性13例，女性9例；年龄为15～71岁，平均(42.9±11.3)岁；致伤原因：车祸伤16例，高处坠落伤4例，打击伤2例。两组的年龄、性别、受伤到入院时间、GCS评分等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。 (马静)