伊朗马赞德兰医科大学重症监护病房中听觉刺激对创伤性昏迷持续时间的影响。
Effect of auditory stimulation on traumatic coma duration in intensive care unit of Medical Sciences University of Mazandarn, Iran.
作者信息
Gorji Mohammad Ali Heidari, Araghiyansc Fereshteh, Jafari Hadayat, Gorgi Ali Morad Heidari, Yazdani Jamshid
机构信息
Nursing and Midwifery Department, Medical Science University of Mazandaran, Sari, Iran.
出版信息
Saudi J Anaesth. 2014 Jan;8(1):69-72. doi: 10.4103/1658-354X.125940.
BACKGROUND
Sensory deprivation is one of the common complications of coma patients in the intensive care unit (ICU). The purpose of this study was to investigate the impact of a familiar voice to consciousness level in coma patients.
METHODS
A total of 13 patients with traumatic coma (8 ≥ Glasgow's coma scale [GCS]) admitted in ICU ward were randomly assigned to control and experimental groups. The experimental group was treated twice a daily each time 15 min with a familiar recorded MP3 sound for 2 weeks. The control group received only natural voices of environment. GCS applied to evaluate patients' level of consciousness.
FINDING
Findings showed that duration to reach GCS = 15 was significantly shorter in the experimental group (χ(2) = 12/96, P < 0/001).
CONCLUSION
These findings imply that providing familiar auditory stimulation programs for coma patients in the ICU could be effective.
背景
感觉剥夺是重症监护病房（ICU）昏迷患者常见的并发症之一。本研究旨在探讨熟悉的声音对昏迷患者意识水平的影响。
方法
共有13例入住ICU病房的创伤性昏迷患者（格拉斯哥昏迷量表[GCS]评分≥8分）被随机分为对照组和实验组。实验组每天接受两次治疗，每次用熟悉的MP3录音声音刺激15分钟，持续2周。对照组仅接受环境中的自然声音。采用GCS评估患者的意识水平。
结果
结果显示，实验组达到GCS = 15的时间明显更短（χ(2)= 12/96，P < 0/001）。
结论
这些发现表明，为ICU中的昏迷患者提供熟悉的听觉刺激方案可能是有效的。
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