蛛网膜下腔再出血诱因分析及护理指导  

Analysis on the Inducement of Rebleeding in Subarachnoid Hemorrhage and Nursing Guidance

作　　者：赵琼会 

机构地区：[1]四川省盐亭县人民医院神经内科,四川绵阳621600

出　　处：《临床医学工程》2012年第4期612-613,共2页Clinical Medicine & Engineering

摘　　要：目的探讨蛛网膜下腔再出血的诱因,总结再出血的临床特点及相关因素,从护理环节提出积极防治措施,预防再次出血,降低致残率及死亡率,延长蛛网膜下腔再出血患者的生存期。方法对50例蛛网膜下腔再出血患者的临床资料进行回顾性诱因调查分析并进行护理指导。结果蛛网膜下腔出血后再出血与血压过高(主要是收缩压升高,平均动脉压大于140mmHg,降颅内压后收缩压仍大于180mmHg,与舒张压升高关系不大),精神紧张,情绪波动,过早活动,用力排便,屏气,剧烈咳嗽及有吸烟史及饮酒史极其有关,P<0.05。结论充分认识原发性蛛网膜下腔出血后再出血的临床特点和相关因素,从护理上给予早期防治对降低再出血的发生率尤为重要。Objective To explore the inducement,clinical characteristics and related factors of rebleeding in subarachnoid hemorrhage,put forward the positive preventive measures to prevent the rebleeding,reduce the disability and mortality rate and extent patients＇ survival time.Methods The clinical data of 50 patients with rebleeding in subarachnoid hemorrhage were retrospectively analyzed for the inducement,and nursing instructions were taken.Results Rebleeding in subarachnoid hemorrhage was related to hyperpiesia,psychentonia,emotional fluctuation,early activities,force defecate,breath holding,severe coughing,smoking history and drinking histories（P〈0.05）.Conclusions Sufficient understanding of the clinical characteristics and related factors of rebleeding in subarachnoid hemorrhage,nursing for early prevention and control are important to reduce the incidence of rebleeding.

关 键 词：蛛网膜下腔再出血 诱因 护理 

分 类 号：R473.5[医药卫生—护理学]