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中华重症医学电子杂志 ›› 2023, Vol. 09 ›› Issue (02) : 217 -224. doi: 10.3877/cma.j.issn.2096-1537.2023.02.014

病例报告

神经学音乐治疗心搏骤停后缺血缺氧性脑病产妇一例
肖海燕, 段业英, 吴玥琳, 伍丽婵, 唐灏珂()   
  1. 510150 广州,广州医科大学附属第三医院重症医学科
    510180 广州,广州医科大学精神卫生学院
    510150 广州,广州医科大学附属第三医院护理部
  • 收稿日期:2022-10-30 出版日期:2023-05-28
  • 通信作者: 唐灏珂
  • 基金资助:
    国家级大学生创新创业训练计划项目(202110570039); 广东省科技创新战略专项资金(大学生科技创新培育)项目(pdjh2021b0414); 广州医科大学学生课外学术科技立项项目(2020A100)

Neurologic music therapy for a maternal women with hypoxia-ischemias encephalopathy after cardiac arrest: a case report

Haiyan Xiao, Yeying Duan, Yuelin Wu, Lichan Wu, Haoke Tang()   

  1. Department of Critical Care Medicine, the Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China
    College of Mental Health, Guangzhou Medical University, Guangzhou 510180, China
    Department of Nursing, the Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China
  • Received:2022-10-30 Published:2023-05-28
  • Corresponding author: Haoke Tang
引用本文:

肖海燕, 段业英, 吴玥琳, 伍丽婵, 唐灏珂. 神经学音乐治疗心搏骤停后缺血缺氧性脑病产妇一例[J]. 中华重症医学电子杂志, 2023, 09(02): 217-224.

Haiyan Xiao, Yeying Duan, Yuelin Wu, Lichan Wu, Haoke Tang. Neurologic music therapy for a maternal women with hypoxia-ischemias encephalopathy after cardiac arrest: a case report[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2023, 09(02): 217-224.

缺血缺氧性脑病是心搏骤停后的常见后遗症,这类患者预后往往并不理想,生存质量明显下降。本文报道1例神经学音乐治疗(NMT)的缺血缺氧性脑病产妇,以期为类似疾病的重症孕产妇的康复提供经验。在全面评估患者病情后,本团队制定危重护理方案,循序渐进地进行NMT。经过精心护理与NMT后,患者预后良好,住院46 d后顺利出院。

Hypoxic-ischemic encephalopathy is a common sequela after cardiac arrest, and the prognosis of such patients with a markedly reduced quality of survival is often unsatisfactory. We present a case study of neurologic music therapy(NMT)for a maternal women with hypoxic-ischemic encephalopathy, to provide experience for the rehabilitation of critically maternal women with similar diseases. A critical care plan was formulated following a comprehensive assessment of the patient's condition, and NMT was gradually administered. After 46 days in the hospital, the patient was safely discharged with a good prognosis due to attentive nursing and NMT.

图1 患者ICU住院期间病情与管理流程图注:GCS为格拉斯哥昏迷量表;S5Q为标准化5问题;NMT为神经音乐治疗;ADL为日常生活活动能力
图2 神经学音乐治疗的临床选择
表1 患者在ICU住院期间意识变化情况
表2 患者在ICU住院期间运动功能变化情况
表3 患者在ICU住院期间及出院后语言功能变化情况
表4 患者在ICU住院期间及出院后认知变化情况(分)
表5 患者在ICU住院期间及出院后自理生活能力变化情况(分)
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