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目的:观察中医平衡理论配合呼唤式护理干预对重症颅脑外伤致昏迷患者意识复苏的影响。方法:选取重症颅脑外伤致昏迷患者92例作为研究对象,按照随机数字表法分为观察组和对照组各46例,其中对照组给予呼唤式护理干预,观察组在对照组基础上配合中医平衡理论进行护理。观察两组临床疗效、GCS评分、苏醒率和苏醒时间、脑血流量(CBF)、脑血容量(CBV)。结果:观察组总有效率84.8%,显著高于对照组65.2%,差异有统计学意义(P<0.05);护理后两组GCS评分显著高于护理前(P<0.05),且观察组显著高于对照组(P<0.05);观察组苏醒率87.0%,显著高于对照组69.6%(P<0.05),苏醒时间显著低于对照组(P<0.05);护理后两组CBF、CBV显著高于护理前(P<0.05),且观察组显著高于对照组(P<0.05)。结论:中医平衡理论配合呼唤式护理干预能够缩短重症颅脑外伤致昏迷患者苏醒时间,提高苏醒率。
Objective: To observe the effect of balanced theory of Chinese medicine and call nurse intervention on consciousness recovery in patients with coma caused by severe craniocerebral trauma. Methods: A total of 92 patients with coma caused by severe craniocerebral trauma were divided into observation group (46 cases) and control group (46 cases). The control group was given call nursing intervention. The observation group was treated with traditional Chinese medicine Balance theory to care. The clinical efficacy, GCS score, recovery rate and recovery time, cerebral blood flow (CBF) and cerebral blood volume (CBV) were observed. Results: The total effective rate in observation group was 84.8%, which was significantly higher than that in control group (65.2%), the difference was statistically significant (P <0.05); GCS score in two groups after nursing was significantly higher than that before nursing (P <0.05) (P <0.05). The awakening rate of the observation group was 87.0%, significantly higher than that of the control group (69.6%, P <0.05), and the recovery time was significantly lower than that of the control group (P <0.05) (P <0.05), and the observation group was significantly higher than the control group (P <0.05). Conclusion: The balance theory of Chinese medicine and call-type nursing intervention can shorten the recovery time and improve the recovery rate of patients with coma caused by severe traumatic brain injury.