高血压伴脑出血的预后相关因素调查分析及护理对策  

Research, analysis and nursing methods of relevant factors of prognosis of hypertension with cerebral hemorrhage

作　　者：黄苏琴 童巧薇 方志红 

机构地区：[1]浙江省浦江县中医院内科,浙江浦江322200 [2]浙江省台州市恩泽医疗中心(集团)路桥医院内科,浙江台州318050

出　　处：《中国现代医生》2015年第9期132-135,共4页China Modern Doctor

基　　金：浙江省医药卫生科技项目(2011ZHA011)

摘　　要：目的探讨高血压伴脑出血的预后相关因素调查分析及护理对策情况。方法分析收治的150例高血压脑出血患者临床资料。采用收集资料和查阅文献的方法,对高血压脑出血患者的影响预后因素进行观察。按照ADL评分情况,分为神经功能恢复良好组:患者处于Ⅰ级、Ⅱ级、Ⅲ级;神经功能恢复不良组:患者处于Ⅳ级、Ⅴ级、Ⅵ级。结果高血压伴脑出血患者术前血糖值、术前白细胞计数、术前血肿量、手术时机与ADL评级呈现明显的负相关;高血压伴脑出血患者术前GCS评分、血肿破入脑室、肺部感染与ADL评级呈现明显的正相关(P<0.05)。结论明确高血压脑出血预后相关因素可为临床护理提高可靠的理论依据,为提高预后和巩固治疗效果奠定基础。Objective To discuss research, analysis and nursing methods of relevant factors of prognosis of hypertension with cerebral hemorrhage. Methods A total of 150 cases of clinical information of hypertensive patients with cerebral hemorrhage, who were received and cured, were analyzed, and the prognostic factors of of hypertensive patients with cerebral hemorrhage were observed by the method of collecting information and reviewing documents. The patients were divided into good neurological recovery group （Levels I , I1 and III ） and bad neurological recovery group （Levels IV, V and V[ ） in accordance with ADL scores. Results Blood sugar value, amount of white blood cell, hematoma volume and operative time of hypertensive patients with cerebral hemorrhage before the operation were showed obvious negative relativity with ADL levels, while the GCS score, hematoma broken into ventricles and pulmonary infection were showed obvious positive relativity with ADL levels （P〈0.05）. Conclusion To clear and definite the relevant factors of prognosis of hypertensive with cerebral hemorrhage may provide reliable theory evidence for the improvement of clinical nursing, and lay the foundation for enhancing the prognosis and curative effect.

关 键 词：高血压 脑出血 相关因素 调查分析 护理 

分 类 号：R651.1[医药卫生—外科学] R473.74[医药卫生—临床医学]