Jiang Ji-Yao, Bo Ying-Hui, Yin Yu-Hua, Pan Yao-Hua, Liang Yu-Min, Luo Qi-Zhong
Department of Neurosurgery, Renji Hospital, Shanghai Second Medical University, Shanghai 200001, China.
Chin J Traumatol. 2004 Dec;7(6):341-3.
To determine the effect of arousal methods for prolonged coma of 175 patients with severe traumatic brain injury and related factors.
There were 175 cases with persistent coma longer than 1 month after severe traumatic brain injury. Coma lasted 1-12 months. Arousal procedures included hyperbaric oxygen, physical therapy and arousal drugs.
In the 175 prolonged coma patients 110 got recovery of consciousness; in 118 cases with coma of 1-3 months, 86 cases recovered consciousness (72.9%); in 42 cases with coma of 4-6 months, 20 cases recovered consciousness (47.6); and in 15 cases with coma of longer than 6 months, only 4 cases recovered consciousness (26.7%). The recovery of consciousness depended on patient's primary brain stem damage, cerebral hernia, GCS score, and age.
Application of appropriate arousal procedures improves recovery of consciousness in patients with prolonged coma.
确定唤醒方法对175例重型颅脑损伤长期昏迷患者的效果及相关因素。
175例重型颅脑损伤后持续昏迷超过1个月。昏迷持续1至12个月。唤醒程序包括高压氧、物理治疗和唤醒药物。
175例长期昏迷患者中110例意识恢复；昏迷1至3个月的118例患者中，86例意识恢复（72.9%）；昏迷4至6个月的42例患者中，20例意识恢复（47.6%）；昏迷超过6个月的15例患者中，仅4例意识恢复（26.7%）。意识恢复取决于患者原发性脑干损伤、脑疝、格拉斯哥昏迷评分及年龄。
应用适当的唤醒程序可改善长期昏迷患者的意识恢复。
