语言呼唤联合音乐促醒法在重型颅脑损伤昏迷患者中的应用

目的 探讨语言呼唤联合音乐促醒法对重型创伤性脑损伤（TBI）昏迷患者的清醒时间及治疗效果的影响。方法 采用方便取样法，将2005年7月～2007年11月收治的28例重型TBI昏迷患者作为观察组，在实施常规护理基础上加用语言呼唤联合音乐促醒法；将2004年11月～2005年6月收治的28例重型TBI昏迷患者作为对照组，实施常规护理。观察并比较两组患者治疗前后GCS评分、清醒率及清醒时间。结果 两组患者治疗后GCS评分、清醒率及清醒时间比较，差异有统计学意义（均P〈0．05），其中观察组治疗后GCS评分和清醒率方面高于对照组，清醒时间则短于对照组。结论 语言呼唤联合音乐促醒法能促进重型TBI昏迷患者脑功能恢复，提高苏醒的成功率。

Application of method of language combined with music therapy in coma patients with severe traumatic brain injury

Objective To explore the effect of language therapy combined with music therapy on the awakening time and therapeutic efficacy in patients with severe traumatic brain injury （TBI）. Methods Twenty-eight patients with severe TBI admitted from July 2005 to November 2007 were selected as the observation group, which received routine nursing plus language and music therapy. Another twenty-eight patients with severe TBI admitted from November 2004 to June 2007 were selected as the control group, which received routine nursing. GCS scores, awakening rate and awakening time before and after treatment in the two groups were compared. Results Significant differences were found in GCS scores, awakening rate and awakening time between the two groups after treatment （P 〈 0.05）. The GCS scores and the awakening rates in the experiment group were higher than those in the control group while the awakening time in the experiment group was shorter than that in the control group. Conclusion Language and music therapy contribute to awakening in patients with severe TBI, promote patients＇ brain functional recovery and increase awakening rate.