Curative Effect Analysis Of Right Median Nerve Electrical Stimulation On Postoperative Coma Patients With Spontaneous Intracerebral Hemorrhage In Basal Nuclei Region

Objective:Through clinical research,this study observed the awakening effect of right median nerve electrical stimulation(RMNS)on postoperative coma patients with spontaneous intracerebral hemorrhage in basal nuclei region,and analyzed the factors that may affect the awakening effect of RMNS.Methods: Select 50 postoperative coma patients with spontaneous intracerebral hemorrhage in basal nuclei region of Zhangjiajie people's Hospital from March 2017 to September 2018 as the subjects of the study.The patients were randomly divided into experimental group and control group.The control group was treated with routine clinical treatment,and the experimental group was treated with RMNS on this basis.Recorded the recovery rate during treatment,recovery time,the hospitalization time of neurosurgical intensive care unit(NICU),the Glasgow coma scale(GCS)score and Full Outline of Unresponsiveness Scale(FOUR)score before and after treatment on 1 week,2 weeks and follow-up for 1 month,3 months and 6 months;the JFK Coma Recovery Scale-Revised(CRS-R)score and Disability Rating Scale(DRS)score before treatment and follow-up for 1 month,3 months and 6 months;and the recovery rate in patients with dilated pupils,or with diabetes,or with tracheotomy,or with stroke-related pneumonia in experimental group and control group,resultsanalyzed by Statistical software SPSS 18.0.Results:41 cases were effectively enrolled in the group(21 cases in the experimental group and 20 cases in the control group).The recovery rate of the experimental group(61.90%)was higher than that of the control group(35%),and the difference was no statistically significant(P>0.05).The recovery time in the experimental group(9.23±1.30 days)was shorter than those in the control group(12.14±1.57 days),and NICU hospitalization time(9.48±1.03 days)was also shorter than those in the control group(11.55±0.95 days).The GCS and FOUR scores of the two groups before and after treatment at 1 week,2 weeks and follow-up for 1month,3 months and 6 months showed an increasing trend with time,and the two scores of the experimental group were higher than those of the control group in all time dimensions.The brainstem reflex score in FOUR scores at 1 week and 2 weeks after treatment in the two groups was higher in the experimental group than in the control group.The CRS-R and DRS scores of the two groups before treatment and follow-up for 1month,3 months and 6 months showed an upward trend in CRS-R score and a downward trend in DRS score,the CRS-R scores of the experimental group were higher than the control group at each time dimension,and the DRS scores were lower than the control group at each time dimension.The recovery rate of patients with dilated pupils in the experimental group was lower,while that of patients in the control groupwas also lower.The recovery rate of diabetic patients in the experimental group was lower,and the above differences were statistically significant(P<0.05).There was no significant difference in the recovery rate of patients with diabetes in the control group,and there was no significant difference in the recovery rate of patients with tracheotomy or patients with stroke related pneumonia in the experimental group and the control group(P > 0.05).Conclusions: RMNS has a good effect on awakening of comatose patients with spontaneous intracerebral hemorrhage in basal nuclei region,which can shorten the recovery time and the NICU hospitalization time,and improve the long-term prognosis.In patients with dilated pupils or with diabetes,the awakening effect of RMNS may be diminished.