四感联合促醒刺激护理对高血压脑出血术后昏迷患者促醒效果分析

Analysis of the Effect of Four Senses Combined with Wake-up Stimulation Nursing on Wake-up in Coma Patients after Hypertensive Intracerebral Hemorrhage

目的分析高血压脑出血术后昏迷患者采取四感联合促醒刺激护理的临床效果。方法选取2019年10月-2021年10月就诊的高血压脑出血术后昏迷患者研究,总比例数120例,按照入院单双号分组,划分为两组,一组为对照组(n=60),一组为研究组(n=60),对照组接受常规护理,研究组于此基础接受四感联合促醒刺激护理,对干预2个月后两组相关指标予以分析,如GCS、苏醒率及神经递质因子等。结果GCS(格拉斯哥昏迷评分)、DFS(功能障碍量表):干预后,研究组GCS分值与之对照组比高,DFS分值与之对照组比低(P<0.05);苏醒率、苏醒时间:研究组2个月后苏醒率相较于对照组高,苏醒时间短于对照组(P<0.05);神经递质水平:研究组血液中NE(去甲肾上腺素)、ACh(乙酰胆碱)及DA(多巴胺)含量均较对照组高(P<0.05);并发症:研究组压疮、肢体痉挛畸形等发生率为3.33%,对照组为18.33%,两组对比(P<0.05);脑功能评分:研究组脑功能评分相比之对照组高(P<0.05)。结论高血压脑出血术后昏迷患者采取四感联合促醒刺激护理可有效改善脑功能状况,维持患者正常生理状态,促进其神经功能修复,且降低并发症的发生率,缩短促醒时间,提高患者生存质量。

Objective To explore and analyze the clinical effect of four senses combined with wake-up stimulation nursing for comatose patients after hypertensive intracerebral hemorrhage.Methods A total of 120 patients with coma after hypertensive intracerebral hemorrhage who were treated in our hospital from October 2019 to October 2021 were selected and divided into 2 groups according to their admission odd and even numbers,and one group was the control group.(n=60),one group was the research group(n=60),the control group received routine nursing care,and the research group received four senses combined wake-up stimulation nursing based on this basis.Such as GCS,recovery rate and neurotransmitter factors.Results GCS(Glasgow Coma Scale),DFS(Disability Scale):After the intervention,the GCS score of the study group was higher than that of the control group,and the DFS score was lower than that of the control group(P<0.05);The recovery rate,Recovery time:the recovery rate of the study group after 2 months was higher than that of the control group,and the recovery time was shorter than that of the control group(P<0.05);Neurotransmitter levels:NE(norepinephrine),ACh in the blood of the study group The contents of acetylcholine(acetylcholine)and DA(dopamine)were higher than those in the control group(P<0.05);Complications:The incidence rate of pressure ulcers and limb spasticity in the research group was 3.33%,and that in the control group was 18.33%,compared between the two groups(P<0.05);Brain function score:The brain function score of the study group was higher than that of the control group(P<0.05).Conclusions Four senses combined with wake-up stimulation nursing for comatose patients after hypertensive intracerebral hemorrhage can effectively improve brain function,maintain normal physiological state of patients,promote neurological function repair,reduce the incidence of complications,and shorten wake-up time.It is worthy of promotion to improve the quality of life of patients.