于宁宁

【摘要】目的：分析多感官促醒護理模式在脑卒中意识障碍患者中的应用效果。方法：选取本院由2020年8月—2022年7月期间收治的脑卒中轻中度意识障碍患者60例，按照干预方式不同将其分为对照组和试验组两组，对照组执行常规护理干预，试验组采用常规护理+多感官促醒干预模式。分别于干预前、干预后（1、2、4）周使用格拉斯哥昏迷评分（GCS）及脑电图（EEG）评估两组患者意识状态及脑功能恢复情况。使用肯尼迪昏迷恢复量表（CRS-R）对两组患者苏醒有效率进行测定，计算两组患者并发症发生率。结果：干预前两组患者GCS评分及EEG评分无明显差异（P>0.05），干预后实验组患者两项指标评分显著高于对照组（P<0.05）。实验组苏醒有效率76.67%，显著高于对照组53.33%，同时实验组并发症发生率显著低于对照组（P<0.05）。结论：对脑卒中意识障碍患者进行多感官促醒护理，可显著改善 患者脑功能，提升患者苏醒效率，并对控制并发症发生具有显著意义。

【关键词】脑卒中；意识障碍；多感官促醒；GCS；并发症

For cerebral apoplexy patients with disturbance of consciousness to use multi-sensory promote wake model analysis of the effect

YU Ningning

The second peoples hospital in hefei in anhui province， anhui medical university affiliated hospital of hefei neurology， Hefei， Anhui 230011， China

【Abstract】Objective： To analyze multiple senses to wake up the nursing mode application effect in stroke patients with disturbance of consciousness. Methods： our hospital from August 2020 to July 2022 mild-to-moderate stroke admitted during the period of 60 patients with disturbance of consciousness， according to the interference in different ways it can be divided into two groups， control group and test group in the control group performing routine nursing intervention， the experimental group using conventional care + multisensory promote wake intervention model. Glasgow coma scale （GCS） and electroencephalogram （EEG） were used to evaluate the state of consciousness and recovery of brain function of patients in the two groups before and after the intervention （1， 2， 4 weeks）. Kennedy Coma Recovery Scale （CRS-R） was used to measure the recovery rate of the two groups of patients， and the incidence of complications was calculated. Results： two groups of patients with GCS score before intervention and no obvious difference was found between EEG score（P>0.05）. After intervention， the scores of the two indexes in the experimental group were significantly higher than those in the control group（P<0.05）. The recovery rate of the experimental group was 76.67%， which was significantly higher than 53.33% of the control group， and the incidence of complications in the experimental group was significantly lower than that in the control group （P<0.05）. Conclusion： Multi-sensory wake-up promotion nursing for stroke patients with disturbance of consciousness can significantly improve the brain function of patients， improve the recovery efficiency of patients， and has significant significance in controlling the occurrence of complications.

【Key Words】Stroke； Disturbance of consciousness； Multi-sensory awakening； GCS； Complications

脑卒中是目前临床上十分常见的一类多发性脑血管疾病，其中意识障碍是脑卒中常见并发症，具有较高的致残率和致死率。虽然随着现代医疗技术水平的不断提升，脑卒中死亡率大大降低，但如何快速唤醒脑性昏迷患者仍是临床面临的重要课题[1]。多感官促醒护理是一种集听觉、视觉、嗅觉、触觉等多种感官刺激于一体的综合型促醒护理模式，大量临床研究也证实了其在脑卒中昏迷患者中对促进患者快速苏醒、神经功能恢复既并发症预防方面所发挥出的积极价值。此外，该护理模式操作简便，深受临床医务人员青睐[2]。目前，多感官促醒模式已在脑出血患者中广泛应用，并取得显著成效[3]。本文为掌握多感官促醒模式在脑卒中意识障碍患者中的应用价值特结合60例病理进行分析研究，现将具体研究内容报道如下。

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