[1]阮立新,李先锋,黄其川,等.右正中神经电刺激对NICU昏迷患者的治疗效果[J].临床神经外科杂志,2019,16(4):332-340.[doi:10.3969/j.issn.1672-7770.2019.04.011]
 RUAN Li-xin,LI Xian-feng,HUANG Qi-chuan,et al.Therapeutic effect of right median nerve stimulation on NICU coma patients[J].Journal of Clinical Neurosurgery,2019,16(4):332-340.[doi:10.3969/j.issn.1672-7770.2019.04.011]
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右正中神经电刺激对NICU昏迷患者的治疗效果()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
16
期数:
2019年第4期
页码:
332-340
栏目:
论著
出版日期:
2019-08-15

文章信息/Info

Title:
Therapeutic effect of right median nerve stimulation on NICU coma patients
作者:
阮立新李先锋黄其川易际淼陈列李新崇高国一
325400 平阳,浙江省平阳县人民医院神经外科(阮立新,李先锋,黄其川,易际淼,陈列,李新崇);上海交通大学医学院附属仁济医院神经外科(高国一)
Author(s):
RUAN Li-xin LI Xian-feng HUANG Qi-chuan et al.
Department of Neurosurgery, People’s Hospital of Pingyang County, Pingyang 325400, China
关键词:
右正中神经电刺激NICU昏迷促醒
Keywords:
right median nerve stimulation NICU coma wake up
分类号:
R651.3
DOI:
10.3969/j.issn.1672-7770.2019.04.011
文献标志码:
A
摘要:
【摘要】目的探讨右正中神经电刺激对神经外科重症监护病房(neurosurgery intensive care unit,NICU)昏迷患者的治疗效果。方法平阳县人民医院NICU自2016年5月—2018年5月收治的70例不同原因昏迷患者,随机分为右正中神经电刺激治疗组(治疗组)和对照组,每组35例。对照组患者给予常规治疗,治疗组患者在常规治疗的基础上,予以右正中神经电刺激。比较两组患者发病后6个月的格拉斯哥昏迷量表(Glasgow coma scale,GCS)、格拉斯哥预后量表(Glasgow outcome scale,GOS)和残疾评定量表(disability rating soale,DRS)评分,评价治疗效果。结果与对照组相比,治疗组患者意识障碍的治疗效果明显好转(P<0.05),植物生存比例显著降低。治疗组患者治疗后的GCS评分和GOS评分明显高于对照组,DRS评分显著低于对照组(均P<0.05)。结论右正中神经电刺激辅助治疗NICU昏迷患者,能显著改善其预后,方法简便,值得临床推广应用。
Abstract:
Abstract: ObjectiveTo investigate the therapeutic effect of right median nerve stimulation on Neurosurgery Intensive Care Unit(NICU) coma patients. Methods70 patients with different causes of coma were enrolled in the hospital’s NICU. They were randomly divided into two groups as the treatment group and the control group. Among them, the treatment group was given a right median nerve stimulation on the basis of conventional treatment. The level of consciousness was evaluated by statistical analysis according to the GCS score, GOS score, and DRS score at 6 months after the onset of the patients. ResultsCompared with the control group, the recovery of consciousness in the treatment group was significantly better, and the proportion of plant survival was significantly lower. After treatment, the GCS score and GOS score were significantly higher than the control group, and the DRS score was significantly lower than the control group. ConclusionsRight mid-negative nerve stimulation for the treatment of NICU coma patients can significantly improve clinical prognosis. The method is simple and worthy of popularization and application.

相似文献/References:

[1]王广斌,谢丽君,吴贵平,等.右正中神经电刺激对重型颅脑损伤患者脑血流灌注影响的SPECT-CT观察[J].临床神经外科杂志,2014,(02):137.

更新日期/Last Update: 2019-08-01