脑状态指数对颅脑损伤患者护理指导的意义

目的通过脑状态监测仪(cerebral state monitor,CSM)量化昏迷深度及脑功能损害程度,指导临床护理。方法对96例临床颅脑损伤昏迷患者进行CSI监测,分析这些指标与患者的体征反射、格拉斯哥昏迷评分(GCS)及格拉斯哥预后评分(GOS)指导临床护理。结果 CSI100-0是从清醒,然后到深昏迷以及脑死亡持续刻度范围,和患者昏迷程度有很大的关系,和体征反射相对应消涨;尤其是在长时间恒定刺激下,CSI会出现变化,根据脑状态指数,量化脑功能的改变指导其相应临床护理的临床意义。结论通过开展CSM无创动态实时检测,来量化以及数字化脑功能损伤程度,构建相关的功能损害临床标准,开展客观临床护理指导与预防减少并发症。

Objective Through the cerebral state monitor（cerebral state monitor,CSM） to quantify coma depth and degree of brain functional lesions,clinical nursing.Methods In 96 cases with brain injury patients with coma for CSI monitoring,analysis of these indicators and with physical reflection,Glasgow coma score（GCS） and Glasgow Outcome Scale（GOS） to guide the clinical nursing.Results CSI100-0 is from awake,then to deep coma and brain death continue to scale,and patients with coma degree have a great relationship,and symptoms reflecting corresponding drawdown;especially in the long time constant stimulation,CSI will appear change,according to the cerebral state index,quantitative alterations in brain function to guide their corresponding clinical nursing the clinical significance of.Conclusion Through the development of a noninvasive CSM dynamic real-time detection,quantification and digital brain function damage,constructing the related impairment clinical criteria,Objective clinical nursing and prevention of complications.