音乐播放+语音唤醒在重症颅脑损伤患者全麻苏醒期中的应用观察

Use of music playback with voice awakening in patients with severe traumatic brain injury during recovery from general anesthesia

目的:探讨音乐播放+语音唤醒在重症颅脑损伤患者全麻苏醒期中的应用效果。方法:选取我院2018年1月~2020年1月重症颅脑损伤患者62例,按照入院顺序不同分为观察组(31例)、常规组(31例)。常规组采用常规护理,观察组在常规护理基础上采用音乐播放+语音唤醒。比较两组苏醒期各指标用时、干预前后生命体征变化、躁动程度及躁动发生率。结果:观察组睁眼时间、握拳时间、拔管时间及自主呼吸时间短于常规组(P<0.05);干预后观察组动脉血氧饱和度高于常规组,舒张压及收缩压低于常规组(P<0.05);观察组躁动程度低于常规组,躁动发生率35.48%(11/31)低于常规组64.51%(20/31)(P<0.05)。结论:音乐播放+语音唤醒可缩短重症颅脑损伤患者苏醒时间,改善其生命体征,降低躁动程度及躁动发生率。

Objective:To investigate the value of music playback with voice awakening in patients with severe traumatic brain injury during recovery from general anesthesia.Methods:A total of 62 patients with severe traumatic brain injury treated in our hospital between January 2018 and January 2020 were enrolled and divided into the study group(n=31)and routine group(n=31)according to temporal order of patient admission.The both groups received usual nursing care,whereas the study group additionally received music playback with voice awakening.The time to achivement of various goals during the recovery period,changes in vital signs before and after intervention,incidence and degree of agitation were compared between the two groups.Results:The time to spontaneous eye-opening,gripping a fist,extubation and spontaneous breathing was shorter in the study group than that in the routine group(P<0.05).After intervention,the study group showed higher arterial oxygen saturation,and lower diastolic and systolic blood pressures than those in the routine group(P<0.05).Compared with the routine group,the agitation was milder and less frequent[35.48%(11/31)vs 35.48%(11/31)]in the study group(P<0.05).Conclusion:Music playback with voice awakening can shorten the recovery time,improve vital signs,and lower the degree and incidence of agitation in patients with severe traumatic brain injury.