重型脑损伤后昏迷患者昏迷干预程序的疗效观察

Effects of coma intervention program for coma patients with severe brain injury

目的:探讨昏迷恢复量表(CRS)与昏迷干预程序(CIP)对重型脑损伤后昏迷患者实施的疗效。方法:15例重型脑损伤后昏迷患者,病情稳定后即接受CRS评估与CIP干预。CRS评估包括6项内容,每一项评估结果均有具体的干预方法(CIP)对应,CRS与CIP配套实施。结果:经过CIP干预,患者意识障碍得到明显改善、功能独立性显著提高(P<0.01);患者的年龄、病程、干预时间与疗效无相关性(P>0.05)。结论:CRS与CIP对重型脑损伤后昏迷患者的评估与干预系统性好、分级细,实施中针对性强,便于操作。

Objective: To study the effect of Coma Recovery Scale (CRS) and Coma Intervention Program (CIP) for the coma patients of severe brain injury.Method:15 coma patients with severe brain injury were evaluated with CRS at the time of before treatment, 1,2,3,6 and 12 months after treatment, and intervened with CIP for each patient. CRS was matched with CIP. FIM was used for assessment of the patient before the treatment and at the end of the treatment.Result:The scores of CRS and FIM assessment for the patients before and after treatment were significantly different (P<0.01). The patient outcomes have been significantly improved. But the age, course of injury and treatment duration of the patients were not correlative with the result of intervention(P>0.05).Conclusion:CRS and CIP are particular and systematical meters, which are practical and applicable for clinical doctors and therapies. They can be used for assessment and intervention of coma patients with severe brain injury. Author′s address Rehabilitation Center, Zhujiang Hospital, The First Military Medical University, Guangzhou, 510282