脑动脉瘤破裂后再出血的高危因素分析及护理对策  

Analysis of high risk factors of rebleeding after Cerebral aneurysm rupture and Nursing countermeasures

作　　者：徐美娣[1] 贾颖[1] 蒋燕[1] 

机构地区：[1]江苏省镇江市第一人民医院神经外科,江苏镇江212002

出　　处：《实用临床医药杂志》2012年第22期163-165,共3页Journal of Clinical Medicine in Practice

摘　　要：目的研究与分析脑动脉瘤破裂后再出血的高危因素及护理对策。方法对本院收治的100例脑动脉瘤破裂出血患者进行回顾性分析,其中观察组50例发生再出血,对照组50例无再出血,对比得出可能引起再出血的危险因素,通过单因素方差及多因素Logistic回归分析得出促使脑动脉瘤破裂后再出血的高危因素,并探讨其护理对策。结果对可能引起再出血的15项危险因素进行统计分析,得出8项高危因素,即癫痫、情绪异常、用力排便、高血压、出血高峰期、脑血管造影后、合并内科疾病及身体状况差。结论针对脑动脉瘤破裂后再出血的高危因素制定相应的护理对策可以降低其危险性。Objective To investigate and analyse high risk factors of rebleeding after cere- bral aneurysm rupture and according nursing countermeasures. Methods A total of 100 bleeding patients after cerebral aneurysm rupture in Zhenjiang First People＇s Hospital from January 2009 to February 2012 were divided into observation group with 50 cases of reblooding patients and control group with 50 non-reblooding cases. The clinical data of the patients were retrospectively reviewed. At the same time, The possible risk factors could be drawn through the comparation of two groups. Eventually, one-way analysis of variance and multi-factor Logistic regression analysis were applied to analyse the high risk factors promoting reblooding after cerebral aneurysm ruptureand and nursing countermeasures were explored as well. Results We conducted statistical analysis for 15 risk fac- tors that might cause reblooding, among which there were 8 high risk factors such as epilepsy, ab- normal emotion, forcibly defecate, hypertension, peek of bleeding, cerebral angiography, medical disease and bad physical condition. Conclusion Corresponding nursing countermeasures based on high risk factors enable to reduce risk of rebleeding inducing by cerebral aneurysm rupture.

关 键 词：脑动脉瘤 破裂 再出血 出血护理 高危因素 

分 类 号：R473.5[医药卫生—护理学]