分析综合感知行为干预应用于高血压脑出血后昏迷患者的效果及对睡眠质量的影响

To Analyze the Effect of Comprehensive Perceptual Behavior Intervention on Comatose Patients after Hypertensive Cerebral Hemorrhage and Its Influence on Sleep Quality

目的:分析综合感知行为干预应用于高血压脑出血后昏迷患者的效果及对睡眠质量的影响。方法:选取2019年1月至2020年7月莆田学院附属医院收治的高血压脑出血昏迷患者65例作为研究对象,按照随机数字表法分为观察组和对照组,其中观察组33例,对照组32例。对照组给予常规护理干预,观察组给予综合感知行为干预。比较2组格拉斯昏迷评分(GCS)、脑电双频指数评分(BIS)、脑功能障碍评分(DRS)、脑脊液神经递质水平以及匹兹堡睡眠质量指数(PSQI)评分。结果:干预后,2组患者GCS、BIS评分、ACh、NE和DA水平均高于干预前,DRS评分、5-TH水平和睡眠质量评分均低于干预前,观察组GCS、BIS评分、ACh、NE和DA水平均高于对照组,DRS评分、5-TH水平和睡眠质量评分均低于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:综合感知行为干预应用于高血压脑出血后昏迷患者,可有效改善患者意识状态以及脑脊液、神经递质水平,有效缩短昏迷时间,提高患者的睡眠质量。

Objective:To analyze the effect of comprehensive perceptual behavior intervention on comatose patients after hypertensive cerebral hemorrhage and its influence on sleep quality.Methods:A total of 65 patients with hypertensive cerebral hemorrhage and coma admitted to the Affiliated Hospital of Putian University from January 2019 to July 2020 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 32 cases in the control group and 33 cases in the observation group.The control group was given routine nursing intervention,and the observation group was given comprehensive perceptual behavior intervention.Grass Coma score(GCS),Bifrequency Index Score(BIS),Brain Dysfunction Score(DRS),cerebrospinal fluid neurotransmitter content and Pittsburgh Sleep Quality Index(PSQI)score were compared between the 2 groups.Results:After intervention,GCS,BIS score,ACh,NE and DA levels in 2 groups were higher than before intervention,DRS score,5-TH level and sleep quality score were lower than before intervention,GCS,BIS score,ACh,NE and DA levels in observation group were higher than control group,DRS score,5-TH level and sleep quality score were lower than the control group,the differences between the 2 groups were statistically significant(P s<0.05).Conclusion:Comprehensive perceptual behavior intervention applied to coma patients after hypertensive cerebral hemorrhage can effectively improve the state of consciousness and the content of cerebrospinal fluid neurotransmitters,effectively shorten the coma time,and improve the sleep quality of patients.