应用听觉诱导对颅脑外伤昏迷病人语言唤醒疗法的监测及分析

Monitoring and analyzing on the language awakening therapy among patients with craniocerebral trauma stupor using hearing inducement

目的 探讨听觉诱导对昏迷病人早期意识恢复的作用。方法 选择颅脑外伤昏迷且颅内无活动性出血的病人180例,随机分组;实验组按颅脑外伤昏迷病人常规治疗、护理加语言唤醒治疗;对照组按颅脑外伤昏迷病人常规治疗及护理;2组经脑干听觉诱发电位（BAEP）与脑电图（EEG）动态监测对结果进行比较分析。结果 实验组BAEP与EEG阳性率、出现呼唤反应率结果显著优于对照组。结论 语言唤醒疗法对颅脑外伤昏迷病人的早期意识恢复可起促进作用,应用听觉诱导指导语言唤醒疗法的实施是一种评价语言唤醒疗法疗效的新方法。

Objective To explore the effect of hearing inducement in early consciousness recovery among stupor patients. Methods 180 patients with craniocerebral trauma stupor who had no active intracranial hemorrhage were divided into the experiment group and the control group. Patients in the experiment group were given the conventional treatment, nursing and the language awakening therapy. Patients in the control group were given the conventional treatment and nursing. Patients of the two groups were conducted the dynamic monitoring of the brain-stem anditory evoked potential （BAEP） and the electroencephalogram （EEG）, and the results were carried on for a comparative analysis. Results The positive rates of BAEP and EEG, and the rate of appearing calling reaction in the experiment group obviously surpassed those in the control group. Conclusions The language awakening therapy can promote the early consciousness recovery among patients with craniocerebral trauma stupor. Application of hearing inducement to instruct the implementation of language awakening therapy is a new method of evaluating the curative effect of language awakening therapy.