持续性植物状态患者的临床康复

A clinical observaion on patients in persistent vegetative state (104 cases)

３年来收治严重脑损伤所致持续性植物状态患者１０４例，均符合１９９６年４月国内医学专家制定的“植物人”诊断标准。应用Ｇｌａｓｇｏｗ昏迷评分法进行评定，得８分者４７例，得６分者３６例，得５分者６例，４分者１１例，３分者４例。严重颅脑外伤７２例，脑出血１５例，脑炎６例，窒息４例，电击伤２例，其他５例。经过音乐和声光电疗法、穴位刺激、针灸按摩、理疗、药物、手术等综合性康复治疗及精心护理３６例患者恢复意识，占３４６％，其余６６例，住院期间病情改善，占６３５％，仅２例死亡，占１９％。认为持续性植物状态患者应坚持康复医疗，以期获得最大可能康复。

cases in persistent vegetative state following severe brain injury were hospitallized in Heilongjiang Provincial Rehabilitation Hospital. They all accorded with the diagnosis creteria of vegetative state which was formulated by the Chinese neurophysicians, neurosurgerons and emergency medical experts in April, 1996. According to the Glosgow coma score, among the patients, 47 were 8 scores, 36 were 6 scores, 6 were 5 scores, 11 were 4 scores, 4 were 3 scores. By the causes, severe brain trauma 72, brain hemorrhage 15, encephalitis 6, suffocation 4 , electricity shock injury 2, and others 5. Under elaborate nursing and comprehensive treatments, such as combining treatments of music sound light electricity for acupoint stimulation, acupuncture and moxibustion, massotherapy, physical therapy, medicine, operation and so on. 36 patients were awaken (34.6%),66 patients improved (63.5%),only 2 died (1.9%). That patients in persistent vegetative state should stick to receive rehabilitation treatment to get rehabilitation as good as possible. Authors address\ Rehabilitation Hospital, Heilongjiang Province, 150018