Department of Pain and Rehabilitation, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Department of Radiology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Geriatr Nurs. 2024 Sep-Oct;59:498-506. doi: 10.1016/j.gerinurse.2024.07.006. Epub 2024 Aug 14.
The objective of the study was to explore the association between basic vital signs and consciousness status in patients with primary brainstem hemorrhage (PBH). Patients with PBH were categorized into two groups based on Glasgow Coma Scale (GCS) scores: disturbance of consciousness (DOC) group (GCS=3-8) and non-DOC group (GCS=15). Within DOC group, patients were further divided into behavioral (GCS=4-8) and non-behavioral (GCS=3) subgroups. Basic vital signs, such as body temperature, heart rate, and respiratory rate, were monitored every 3 hours during the acute bleeding phase (1 day) and the bleeding stable phase (7 day) of hospitalization. The findings revealed a negative correlation between body temperature and heart rate with GCS scores in DOC group at both time points. Moreover, basic vital signs were notably higher in the DOC group compared to non-DOC group. Specifically, the non-behavioral subgroup within DOC group exhibited significantly elevated heart rates on the 1 day of hospitalization and moderately increased respiratory rates on the 7 day compared to the control group. Scatter plots illustrated a significant relationship between body temperature and heart rate with consciousness status, while no significant correlation was observed with respiratory rate. In conclusion, the study suggests that monitoring basic vital signs, particularly body temperature and heart rate, can serve as valuable indicators for evaluating consciousness status in PBH patients. These basic vital signs demonstrated variations corresponding to lower GCS scores. Furthermore, integrating basic vital sign monitoring with behavioral assessment could enhance the assessment of consciousness status in PBH patients.
本研究旨在探讨原发性脑干出血（PBH）患者基本生命体征与意识状态之间的关系。根据格拉斯哥昏迷评分（GCS），将 PBH 患者分为两组：意识障碍（DOC）组（GCS=3-8）和非 DOC 组（GCS=15）。在 DOC 组中，根据患者的行为表现，进一步分为行为组（GCS=4-8）和非行为组（GCS=3）。在住院急性出血期（1 天）和出血稳定期（7 天），每 3 小时监测一次基本生命体征，如体温、心率和呼吸频率。研究结果显示，DOC 组在两个时间点的体温和心率与 GCS 评分呈负相关。此外，DOC 组的基本生命体征明显高于非 DOC 组。具体来说，DOC 组中的非行为亚组在住院第 1 天的心率明显升高，而在第 7 天的呼吸频率略有升高。散点图表明体温和心率与意识状态之间存在显著关系，而呼吸率与意识状态之间无显著相关性。综上所述，本研究表明，监测基本生命体征，特别是体温和心率，可作为评估 PBH 患者意识状态的有价值指标。这些基本生命体征与较低的 GCS 评分相关。此外，将基本生命体征监测与行为评估相结合，可以更全面地评估 PBH 患者的意识状态。
