早期声音刺激对重型颅脑损伤昏迷病人促醒作用的研究

Study on wake-promoting effect of early sound stimulation for severe craniocerebral injury patients with coma

[目的]探讨早期声音刺激对重型颅脑损伤昏迷病人意识恢复的临床效果。[方法]将56例重型颅脑损伤昏迷病人随机分为试验组与对照组各28例,对照组按神经外科护理常规进行护理,试验组在常规护理的基础上早期进行声音刺激。定期观察两组病人的清醒例数、清醒时间、清醒程度[格拉斯哥昏迷量表(GCS)评分]。[结果]试验组病人清醒例数、清醒时间、GCS评分优于对照组,与对照组比较,差异有统计学意义(P<0.05)。[结论]早期声音刺激对重型颅脑损伤昏迷病人有显著的促醒作用。

Objective： To probe into the clinical effect of early sound stimulation on recovery of consciousness of severe craniocerebral injury patients with coma. Methods： A total of 56 cases of severe eraniocerebral injury patients with coma were randomly divided into experimental group and control group,28 cases in each group, the control group cases accepted the nursing care according to the neurosurgical nursing routine, expect for that, the experimental group cases received early sound stimulation on the basis of routine care. The clear cases, awake time, level of wakefulness（GCS score） of patients were observed regularly between two groups Results：The clear cases,awake time,level of wakefulness（GCS score） in the experimental group patients were better than that of control group, there were significant differences（P〈0. 05 ）. Conclusion： Early sound stimulation has significant wakepromoting effects for severe traumatic brain injury patients with coma.